Associate Membership Application

 

Contact Surname First Name(s)
Job Title Department
Organisation
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Postcode

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WHERE DID YOU HEAR ABOUT AFAA?  
THIS INFORMATION WILL BE STORED ON A COMPUTER. TO SATISFY THE REQUIREMENTS OF THE DATA PROTECTION ACT, WE NEED YOUR PERMISSION. PLEASE TICK TO INDICATE YOUR AGREEMENT.  

 

I/WE ENCLOSE £25 FOR MEMBERSHIP (please make cheque payable to AFAA)

 

SIGNATURE: DATE:

PLEASE RETURN THE FORM TO: MR. M. THOMAS,TREASURER AFAA,
CARLTON LODGE, WOODHEAD ROAD, WORTLEY, SHEFFIELD S35 7DA