REFORMATION & REVIVAL FELLOWSHIP

Membership Application (PRINT OUT ONLY PAGE 1 BEFORE FILLING IN)

Membership costs just £5 per year (individual or couple) and runs from January to December. For this you will get our magazine "Revival Newsline" three times a year.

We invite you to send at the same time an additional £5 per person booking fee which will reserve your place at our next Conference: 16th - 18th November, 2009.  

Please enrol me as a member of RRF.

(please include Christian name, both Christian names if a joint application)

Name: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

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Postcode: _ _ _ _ _ _ _ _ _ _        Phone: _ _ _ _ _ _ _ _ _

Email address:   _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

All cheques should be made payable to “RRF”

(Delete as applicable) 
I enclose a cheque for £5 (membership only). 
I enclose a cheque for £10 (membership & Conference booking fee). 
I enclose a cheque for £15 (joint membership and Conference booking fee for two).

IF YOU WISH to include an additional donation, please state how much £.....

Please PRINT OUT (ONLY PAGE 1), fill in and send this form to the address below.

George McIntyre

27 Weston Close

Dorridge

SOLIHUL

B93 8BL

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