Fulshaw Renewal Application Form 2019
Please complete the form and enclose with your annual subscription to ensure you receive all correspondence and WI mailings.
Title: _______ First Name: ____________________ Surname: ________________________
Age Range (please circle) 18yrs - 25yrs / 26yrs – 35yrs / 36yrs – 50yrs / 50yrs – 65yrs/ 65yrs – 80yrs / 80yrs+
Home Address:__________________________________________________________________________
Postcode: ___________
Contact Tel. No: ____________________ Mobile No:________________________
Full Membership Y / N Dual Membership Y / N
If you are joining as a Dual Member please indicate your first WI? ____________________________
In order to receive up to date monthly news and updates from Fulshaw WI and WI Life magazine, please enter your email address here (please print clearly) :
_______________________________________________
In line with data protection and anti-spam laws we will only use your details with your express permission. When sending mailing from the Women’s Institute email address, we will ensure that your address is, wherever possible, is in the BCC field.
We may take photographs at WI meetings/functions, to be published on social media, publications and our website.
Please tick if you do not wish your photograph to be published. ____
If you sign up for events we would like to distribute your email address to those attending for the purpose of car sharing etc.
Please tick if you do not wish your email to be distributed ____
It is against the principles of the WI for individual members to use the organisation for the promotion of a commercial interest without the approval of the committee.
Membership Costs
I enclose a cheque payable to Fulshaw Women’s Institute for the annual Membership fee of £42.00 (Dual £20.50)
The renewal date for membership is January 1st each calendar year.
Signed:___________________________ Print Name: ______________________ Date: ___________________
Please return to: Mrs J Palin, 31 Strawberry Lane, Wilmslow, Cheshire, SK9 6AQ
Please complete the form and enclose with your annual subscription to ensure you receive all correspondence and WI mailings.
Title: _______ First Name: ____________________ Surname: ________________________
Age Range (please circle) 18yrs - 25yrs / 26yrs – 35yrs / 36yrs – 50yrs / 50yrs – 65yrs/ 65yrs – 80yrs / 80yrs+
Home Address:__________________________________________________________________________
Postcode: ___________
Contact Tel. No: ____________________ Mobile No:________________________
Full Membership Y / N Dual Membership Y / N
If you are joining as a Dual Member please indicate your first WI? ____________________________
In order to receive up to date monthly news and updates from Fulshaw WI and WI Life magazine, please enter your email address here (please print clearly) :
_______________________________________________
In line with data protection and anti-spam laws we will only use your details with your express permission. When sending mailing from the Women’s Institute email address, we will ensure that your address is, wherever possible, is in the BCC field.
We may take photographs at WI meetings/functions, to be published on social media, publications and our website.
Please tick if you do not wish your photograph to be published. ____
If you sign up for events we would like to distribute your email address to those attending for the purpose of car sharing etc.
Please tick if you do not wish your email to be distributed ____
It is against the principles of the WI for individual members to use the organisation for the promotion of a commercial interest without the approval of the committee.
Membership Costs
I enclose a cheque payable to Fulshaw Women’s Institute for the annual Membership fee of £42.00 (Dual £20.50)
The renewal date for membership is January 1st each calendar year.
Signed:___________________________ Print Name: ______________________ Date: ___________________
Please return to: Mrs J Palin, 31 Strawberry Lane, Wilmslow, Cheshire, SK9 6AQ
