Covent Garden London
The heart of London's West End
Holborn Library Users Group
Membership Application Form
We are asking for a small, voluntary contribution of £1 per member of the users group (which should be sent to the address below, care of the Treasurer) to start a fighting-fund.
| Surname | ............................................................................................. |
| First Name | ............................................................................................. |
| Title | .............................. |
| Camden Address (home) | ............................................................................................. |
| ............................................................................................. | |
| Post Code | ........................................................................... |
| Telephone Number | ................................................ |
| Camden Address (work) | ............................................................................................. |
| ............................................................................................. | |
| Post Code | ........................................................................... |
| Telephone Number | ................................................ |
| Are you a Camden local council tax payer? (Y/N) | ............................... |
| Are you a Camden business rate payer? (Y/N) | ............................... |
| Are you willing to join the Committee? (Y/N) | ............................... |
| Are you willing to help in any other way? Please specify. | ............................................................................................. |
| ............................................................................................. | |
| ............................................................................................. |
Please return completed form to:
Holborn Library, 32-38 Theobalds Road, London WC1X 8PA.
Tel: 0171 413 6347 or e-mail details to: bb@stpauls.richmond.sch.uk
[ Home | About | Advice | Cartoons | Contact | Gallery | Handbook | Links | News | Newsletters | Sponsors ]