Membership Form

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Friends of Bute Park Membership Form

PLEASE PRINT OFF, COMPLETE AND SEND TO: The Friends of Bute Park, c/o Bute Park Education Centre, ButePark, North Road, Cardiff, CF10 3DX.

Your Name: …………………………………………………………
Your Address: ………………………………………………………………………………………
…………………………………………………………………………………………………………….
Your Postcode: ……………………………..
Your e-mail address: ………………………………………………. Tel no: ……………………………

For household and group membership: Names of additional members
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..

NB: Only one member of a household or group may vote at meetings of the Friends

Do you have any special interests or skills that you would like to offer to help the Friends? If so please let us know!

Membership is renewable annually on the 1st April each year: Please complete the Standing Order Mandate below:
——————————————————————————————————
To the Manager:

………………………………………. Bank
Branch Address: …………………………………………………………………
Account name: ………………………………………………………………………
Sort code: …………………… Account number: ………………………………

Please debit the above account by £5.00 on ……………….. and on the 1st April annually thereafter until further notice, payment being made to:

Friends of Bute Park
Co-op Bank
Sort Code: 08-92-99 Account number 65527858

Signature(s): ………………………………………………….. Date: ………………………..

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