King's Lynn/Emmerich Twinning Club

|
ENROLMENT FORM |
| Please complete in block
capitals and return with your subscription to: Mr Ernie Foreman, Elten House, Vicarage Lane, Gayton, KING'S LYNN PE32 1PN Crossed cheques or postal orders should be made payable to: King's Lynn/Emmerich Twinning Club |
|
|
| Name: _______________________________________________ |
| Name: _______________________________________________ |
| Address: |
| ________________________________________________ |
| ________________________________________________ |
| ________________________________________________ |
| Telephone: ____________________________________________ |
| E-mail address: _____________________________ |
| I enclose a cheque/postal order for £ ____ being the membership fee (at £10.00 per person) for _____ persons over 16. |