SDSAF membership registration form

SDSAF membership registration form is below. It doesn't seem possible to upload it as a word processor document – suggest you copy and paste it into one.

 

Sevenoaks

District Seniors Action Forum

Membership Form

 

Sevenoaks District

Seniors Action Forum (SDSAF) is open to all people aged 50 or

more who live anywhere in Sevenoaks District. Members are invited to raise

issues of concern to them and to comment on local services and facilities

through their involvement with the Forum. SDSAF aims to keep its members informed of topical and relevant matters on a

regular basis. 

I/ We wish to

register for free membership of SDSAF in anticipation of being contacted about future news and events in

connection with the organisation.

Personal Details:

Mr/ Ms/ Mrs/ Miss/ Other ………………………………………….

Name:

..................................................................................................

Address:

...............................................................................................

..............................................................................................................

..............................................................................................................

Postcode:

............................................................................................

Telephone:

..........................................................................................

E-mail:

.................................................................................................

 Lifts offered to

events: YES/ NO

Lifts required to events: YES/ NO

(If so, please state

if you are happy for your details to be passed to a third party for these

purposes: YES/ NO)

 Signed: ………………………………………………

Date:

…………………………………………………

 Please

give or send this form to the Membership Secretary:

Mrs Phyllis Styles, 28 St.

James’ Road, Sevenoaks, Kent, TN13 3NQ

telephone

01732 461623;  e-mail

apstyles@ctlconnect.co.uk

All personal data provided

by members will be stored securely and used by Sevenoaks District Seniors

Action Forum for administration purposes only. This is in accordance with the

requirements of the Data Protection Act 1988.