APPLICATION FOR MEMBERSHIP OR RENEWAL OF MEMBERSHIP

FOR THE YEAR COMMENCING 1^ST JANUARY 2010

Name ……………………………………………….………………..…Mr/Mrs/Miss/Ms

Address…………………………………………………………………………………….

……………………………………………………...… Post Code …………………….

Email address.............................................................................................

Signature ………………………………………...….. Telephone ……………………..

Annual Subscription (minimum) £5.00 (UK only)

Overseas membership (minimum) £8.00      £……………… Please enter amount

Cheques payable to "Friends of Arnos Vale Cemetery"   (UK Sterling only please)

  Please return this form together with your subscription to:

Mrs Joyce Smith

Membership Secretary

Friends of Arnos Vale Cemetery

15 Aintree Drive, Downend

Bristol BS16 6SY