The Membership Secretary

Suncroft,

Stoke Road

Noss Mayo

Devon PL8 1DY

MEMBERSHIP APPLICATION FORM

Tel: 01752 872444

Please enrol me/us as members of the RYDA :

Name(s) ………………………………………..…………………………………..

Address: …………………………………………………..………………………..

……………………………………………………... Telephone:……..……………

Signature ……………………………………..…….Date:………………………….

Please return this form to the Membership Secretary. If you wish to have an entry in the local telephone directory please state below how you would like your entry to appear.

Note: Many people now show first names in their entry – which we encourage because it increases the sense of “community”. Also, since the April 2004 Edition, we have included e-mail addresses where requested.

If you leave this section blank, we will assume you do not wish to be included)

Name(s): ……………………………………………………………………

e-mail (If wanted: .……………………………………………………………

Subscription: £2.50 per annum, £10 if you wish to pay for 5 years in advance or £2 per annum by standing order. Please make cheques payable to RYDA.. To pay by standing order fill in the bank details etc below and return it to the Membership Secretary.

(Adult members of the same household are included in one “membership”)

_______________________________________________________________

STANDING ORDER FORM

To: ……………………………………………………………………………….Bank

Branch …………………………………………………………………………………

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

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

Please pay now the sum of £ ……………(amount in words……………………………….) and on the same date each subsequent year until further notice the sum of £2.00 to:

HSBC Old Town Street Plymouth (Sort Code 40-36-22)

For the credit of: The River Yealm and District Association, Acct No 70801240.

This order cancels any previous order on my account in favour of the River Yealm and District Association.

Signed ……………………………………………..Date ………

Name ……………………………...………Account No ………………………….