Joining Beacon Street Area Residents' Association (BSARA) — Print by clicking on the 'Print page' link at the foot of this page

Should you wish to join the Association as a new member please complete the form below – the subscription of £3 per household per annum will cover your membership to 30th Sept. 2012. Please complete and return this form with the subscription to BSARA, 32 Beacon Street, Lichfield, Staffordshire, WS13 7AT.


MEMBERSHIP APPLICATION FORM
Name:

Address:







Post Code:

E-mail address:
If you wish.
Telephone Number:

I/We wish to become member(s) of Beacon Street Area Residents' Association and to receive future newsletters and communications.

Please indicate Yes / No to the questions below:

I/We agree that BSARA can contact me/us by E-mail.

I/We agree that BSARA can send my/our half-yearly newsletter by E-mail.