Please return the completed application form to the Secretary and use block letters throughout. Thank you

Mrs. Judith Perez,
T.D.T.A. Hon. Secretary, 35 Kennel Lane, Brockworth, Gloucester  GL3 4NP
Tel: 01452 863070

I/we wish to join the Tewkesbury District Twinning Association
I/we enclose a cheque, made payable to Tewkesbury District Twinning Association for £
To pay annual subscriptions by Direct Debit or Standing Order, please contact the Secretary for details.

Full Name(s):

Address:

Postcode:

Telephone Number:

Family Membership: Please give names and ages of children or students in full-time education to be included:

Annual Subsctiptions: - please delete as appropriate

Name:

Age:

Name:

Age:

Individual Membership

£10

Name:

Age:

Family Membership

£15

Name:

Age:

Corporate Membership

£30

Name:

Age: