MEMBERSHIP REGISTRATION FORM

Please fill in, print, and send, along with your completed bankers order,

to the address below

Surname:
First Name:
Address:
Town:
Postcode:

Please register me as a Member of The London Narrow Boat Project
Signature:
Date:

The Company Secretary ,
London Narrow Boat Project
20 Tewkesbury Avenue
Forest Hill
LONDON
SE23 3DQ

 
  FOR OFFICE USE ONLY
Mem No
Name
Rec’d on
Ack`d on
Bank/O sent
Mem Reg
Label
Admin
Ref