Application for Membership

Please print this form and send it via snail mail, together with your first annual subscription to:-

			The Secretary
			Chelmer Canal Trust,
			Windmill Pasture,
			Little Waltham Road,
			Chelmsford,	
			Essex.
			CM1 7TG
			(UK)

I would like to become a member of the Chelmer Canal Trust,
and agree to be bound by the rules of the society.


I enclose the sum of £____________





Full Name	:____________________________________________________


Address		:____________________________________________________


		 ____________________________________________________



Telephone	:____________________________________________________



Signed		:_________________________________  Date:_____________


Membership Categories and Annual Rates

		Single Adult : £ 15
		Family Membership/Joint Adult: £ 20
		Junior Membership (Under 18/Over 12): £ 8
		Charities/Voluntary Bodies: £ 20
		Small Companies (Less than 20 employees): £ 35
		Commercial Bodies and other organisations: £ 70

Family membership covers two adults and all children 12-18 years at the same address. (Please make cheques payable to "Chelmer Canal Trust Limited")