Application for Membership
The Weymouth & Portland – Louviers Society organises the twinning link between the Borough of Weymouth & Portland in Dorset, England and the Town of Louviers, in the Eure department of Normandy, France
WELCOME TO MEMBERSHIP OF THE WEYMOUTH & PORTLAND – LOUVIERS SOCIETY
£15 PER ANNUM
Mr/Mrs/Miss …………………………………………………………………………………………
ADDRESS……………………………………………………………………………………………………………………………….
…………………………………………………………...…………………………………………………………………………………
POSTCODE: ………………………… TELEPHONE: ……………………………………………….
EMAIL ADDRESS: ……………………………………………………………………………………………………………..
DO YOU SPEAK FRENCH: YES / NO
We pledge that your personal information, including telephone number and email address will never be passed on to any other person or organisation and will be used solely for the Weymouth & Portland – Louviers Society to communicate with you.
PLEASE PRINT THIS FORM AND SEND IT, WITH YOUR CHEQUE FOR £15 PER PERSON- PAYABLE TO THE WEYMOUTH & PORTLAND – LOUVIERS SOCIETY TO
Membership Secretary Tom Martindill at 35 Roman Road, Radipole, Weymouth, Dorset.
DT3 5JQ. Telephone: 01305 778940.
WELCOME TO MEMBERSHIP OF THE WEYMOUTH & PORTLAND – LOUVIERS SOCIETY
£15 PER ANNUM
Mr/Mrs/Miss …………………………………………………………………………………………
ADDRESS……………………………………………………………………………………………………………………………….
…………………………………………………………...…………………………………………………………………………………
POSTCODE: ………………………… TELEPHONE: ……………………………………………….
EMAIL ADDRESS: ……………………………………………………………………………………………………………..
DO YOU SPEAK FRENCH: YES / NO
We pledge that your personal information, including telephone number and email address will never be passed on to any other person or organisation and will be used solely for the Weymouth & Portland – Louviers Society to communicate with you.
PLEASE PRINT THIS FORM AND SEND IT, WITH YOUR CHEQUE FOR £15 PER PERSON- PAYABLE TO THE WEYMOUTH & PORTLAND – LOUVIERS SOCIETY TO
Membership Secretary Tom Martindill at 35 Roman Road, Radipole, Weymouth, Dorset.
DT3 5JQ. Telephone: 01305 778940.
