Application for membership of Add Venture in Learning

(Text only version)

NAME:

 

 

ADDRESS:

 

 

 

 

CONTACT PHONE NUMBER:

 

 

E-MAIL:

 

 

What is your preferred method of contact?
Mail/Phone/Email?

 

Are you a potential student?

 

Are you a potential guide?

 

Can you help the organisation? - please add details.

 

 

 

I enclose a cheque (made out to 'Add-Venture in Learning') or postal order for £_________(minimum £12) as my annual membership fee.

Send to: Add-Venture in Learning, c/o Mrs W.Lunel, 19 Briton Street, Bampton, Tiverton, Devon EX16 9NF

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