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Membership Application

I/We would like to apply to join the Lickey Community Group and enclose a payment for £6.00 (per household) for the year to the next Annual General Meeting. (Usually held in April or May). Payment will be due on 1st January each year thereafter. Please make cheques payable to Lickey Community Group. Alternatively you can pay the subscription direct to our Bank account. 

METRO Bank

Account name: Lickey Community Group

Account Number: 53187129

Sort code: 23-05-80

Reference... your name


Title...........Surname.......................................................First Name..........................................................


Title...........Surname.......................................................First Name..........................................................

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

Telephone No.........................................

Email Adress........................................................................................
(email helps us in sending newsletters and other information and also saves time and postage)

By applying for membership, I agree to the Lickey Community Group holding my personal information to communicate news, details of local events and other related Group information. This data will be secure and not passed on to any third party.  

Please print and complete an application and return to the address below


Mike Adams
Treasurer

351 Old Birmingham Road Lickey Bromsgrove B60 1NX