APPLICATION FORM

Interested?
New Members Welcome!

If you would like to become a member of this exciting
grass roots organisation, please fill in the form below and
send it with a cheque for £15 (£12 unwaged) to our Treasurer
at the address given below OR you can establish a
Standing Order (form from the Treasurer) for £2 per month
which will cover your membership fee and allow a further
donation for our work. Cheques should be made payable to
"Women to Women for Peace". Membership includes our
quarterly Newsletter, the International Newsletter by
e-mail and the opportunity to participate in all our
activities. You will be sent a welcome pack.

NAME: ____________________________________

ADDRESS: _________________________________

___________________________________________

___________________________________________

POSTCODE: ________________________________

TELEPHONE:_______________________________

E-MAIL: ___________________________________

I enclose a cheque for £15 (£12 unwaged) OR

Please send a Standing Order form

Where did you hear about us?

Please tell us if you have any skills that could support us?


The contact details for our Treasurer are -

Maureen Miller
28 Knob Hall Lane
Southport
Merseyside
PR9 9QS