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Join CPRW Now! -Please print this page complete the details and send to CPRW, FREEPOST, Ty Gwyn, 31 High Street, Welshpool, Powys SY21 7YD

Name(s):
....................................................................................................
Title: ............................
Address: ....................................................................................................

....................................................................................................
Postcode:................. Tel:.................................E-mail:.....................................
(Overseas members, please add £5 extra for postage)
  Minimum 
subscription rates		 Concessionary 
rates 
(for retired or
 unwaged)		 Subscription
Membership £15 £10 £..............
Joint Membership Box for completion £18 mark box for completion £12 £..............

Family Membership

 mark box for completion £20 mark box for completion £15 £..............
(Please state how many family members are living at the same address and please give the names on a separate sheet)  
Under 21 / Student mark box for completion £6   £..............
Schools and Voluntary Bodies mark box for completion £18   £..............
Corporate members  mark box for completion £30   £..............
Life Membership mark box for completion £350   £..............
Gift Aid: UK Income Tax payers can increase the value of this and any future subscriptions through the Gift Aid Scheme. Donation:
£..............
Yes, I would like to join the Gift Aid Scheme mark box for completion Total:
£..............
I / We enclose 
a cheque payable to CPRW

  I / We wish to pay via Visa / Mastercard / Switch.

Account number:


Expiry Date: /   Switch Issue No.

or I wish to pay by banker's
 order

Signature:...........................................................................date   ...............

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CPRW is a registered charity no. 239899

www.cprw.org.uk/joinfrm.htm