Baldock Town Twinning

Person 1:

Surname            ………………………….……………       Mr / Mrs / Ms / Dr / …

Forename(s)     ………………………….……………

 

Person 2:

Surname            ………………………….……………       Mr / Mrs / Ms / Dr / …

Forename(s)     ………………………….……………

 

Postal address           ………………………….…………………….

                                      ………………………….…………………….

Postcode                     ………………………….…………………….

 

Tel. number(s), including area code:      

          . landline                                   ………………………….……………

          . mobile                                      ………………………….……………

 

E-Mail Address 1   ……………………………………….@…………………………

E-Mail Address 2   ……………………………………….@…………………………

 

Please indicate below your consent (or otherwise) for the Association to contact you in one or more of the following ways (tick acceptable methods):

 

By post

 

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By email

 

​

By phone

 

I/we understand that I/we may amend or withdraw this consent at any time.

 

Person 1: Signed ……………………………………….  Date ………………

 

Person 2: Signed ……………………………………….  Date ………………

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Please send the completed application form, together with the membership fee

(£20 p.a. single, £40 p.a. for a couple, children under 12 free),

cheques payable to Baldock Town Twinning Association, to:

 

          Honorary Secretary – B.T.T.A.           OR     Hon. Chairman – B.T.T.A.

          Mrs Vivienne Reed                                     Mr Paul Luckett

          10 Park Street                                             305, Wedon Way, Bygrave

          Baldock. SG7 6DY                                      Baldock. SG7 5DX

          Tel. 07815 308124                                       Tel. 01462 893114

          vr60@icloud.com                                       paul_sueluckett@btinternet.com