LRA MEMBERSHIP

PLEASE COMPLETE THESE DETAILS IN FULL
(PLEASE WRITE CLEARLY)

 

Your first name and surname

 

Title

Mr / Mrs / Miss /Ms / other (delete as appropriate)

Amount paid
(£5 a year per household)

Membership           £..........

Donation (if any)    £..........

Total                         £..........

Your postal address

 

 

Post code

 

Telephone number

 

Email address (if any)

 

Please send me LRA’s weekly email local news bulletins

YES / NO (delete as appropriate)


Send or take this leaflet with your subscription (no cash by post please) to:
LRA Membership Secretary, 14 The Hawthorns, Loughton IG10 3QT.

You can also pay by Standing Order – call 020 8508 2932 for the form, or go to Standing Order form

LRA will not pass your details on to anyone else.