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MEMBERSHIP APPLICATION FORM

I/we wish to join the Muswell Hill & Fortis Green Association and enclose my/our subscription.

£8.00 (household) and £........... donation (optional).

I would like to pay by Standing Order. Please tick the box and print out the standing order form

Name (s) ...................................................................................................................................................

Address.....................................................................................................................................................

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..................................................................................................................Post Code:..............................

Phone number...............................................................................................................

Email address...................................................................................................................

Would you be able to offer support or assistance for any of the following?

Please indicate by ticking the appropriate boxes.

Local planning & architecture

Tree Monitoring

Recruitment

Newsletter delivery

History of Muswell Hill

Organising Meetings

Finding Speakers

Administrative/Press assistance

Other (please specify)

Are there any issues that interest you or concern your neighbourhood, which you think should be raised by the Association in its meetings or newsletters?

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Please print out and mail to:

The Membership Secretary, Saima Williams , 95 Barrenger Road, London N10 1HU or email to saimawilliams@live.co.uk

Please include your standing order mandate form. Standing order mandate form for MHFGA

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