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 Treasurer,
London Narrow Boat Project
19 Parkfield Crescent
KIMPTON
Hitchin
Herts
SG4 8EQ

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