ANNUAL MEMBERSHIP APPLICATION

Annual membership is currently £5 per annum per household.

Membership of the Association is £5 per year and membership is valid from July 1st to the end of June the following year. Please print this page, complete it and send a cheque to the address shown.

NAME * #
ADDRESS* #
TEL:*
EMAIL:*  ++
NUMBER IN HOUSEHOLD
Payment enclosed	Cheque/Cash £5

TREASURER’S USE ONLY:

PAYMENT RECEIVED

DATE:

INITIALS

*  The Association complies with the Data Protection Act.

++ We aim to keep costs down by communicating via email and on the website as much as possible.  Your  email address will not be divulged to others.

#  We must have these details to register your membership.

PLEASE SUBMIT THIS FORM AND YOUR PAYMENT TO:

“HIGHFIELD PARK RESIDENTS’ ASSOCIATION”

25 Newfield Way, St Albans, AL4 0GB