The Associated Country Women of the World Individual Application Form

Please print this page and complete in block capitals all the details before forwarding to the address at the bottom of the page.

Name

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Address

Post/Zip Code

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Signature

Please choose one of the following payment options:

£20 per annum (or equivalent net of bank charges) or

£50 for 3 year's subscription

I enclose a cheque/bank draft made payable to 'ACWW' for £
I wish to pay by credit or debit card (go to form)

On joining you will receive a membership card, a copy of 'The Countrywoman' and more information about ACWW.
Please return to:

The Associated Country Women of the World (ACWW),
Mary Sumner House, 24 Tufton Street, London SW1P 3RB
Tel: (020) 7799 3875. Fax: (020) 7340 9950.
Registered Charity No. 290367