
BOLSTERSTONE COMMUNITY GROUP -
NB. PLEASE COMPLETE SECTIONS 1 & 2 BEFORE RETURNING THIS FORM.
SECTION 1
Membership is free and open to anyone who supports our Aim which is:
TO PROMOTE THE WELL-
I/We would like to become members of Bolsterstone Community Group and I/we confirm that I/we undertake to support its aim and abide by any conditions of membership."
Name of Applicant…………………………………………………………………………………………..
Address and Post Code…………………………………………………………………………………….
………………………………………………………………………………………………………………
Telephone No…………………………………………
email address……………………………………….
Name of Spouse/Partner living at same address if applicable………………………....................................
Name and ages of children if applicable
Name………………………………….. Age………………………….
Name…………………………………...Age………………………….
Name………………………………….. Age…………………………..
Signed………………………………………………….
Date………………………….
SECTION 2
This section must be completed by 2 current members of the group
Nominated by (name)…………………………………………….. (signature)………………………………..
Seconded by (name)………………………………………………..(signature)………………………………..
Please return this form to BCG, c/o 3 Folderings Lane, Bolsterstone, Sheffield, S36 3ZE
SECTION 3
This application has been confirmed by the Bolsterstone Community Group Management Committee
Signed……………………………………(Management committee secretary) date……………………….
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