Membership Form

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We at ASP encourage everyone who agrees with our aims and objectives to join the Association (Tel: 01789 750891).

Membership Form - Please print off this form and send it to the address at the bottom

I wish to join the Association for Shared Parenting

Name:...........................................	Home Tel.:...........................................
Address:........................................	Work Tel:............................................
.........................................
.........................................
Post Code:.....................................

I will pay my membership subscription now:
Ł20 waged q	Ł10 unwaged q
(Please tick the appropriate box)

I will pay my membership subscription through my bank: Ł18 q
Signed:........................................	Date:..............................................

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Banker's Order Form
To: The Manager...........................................	Bank.......................................................
Address.................................................
.................................................
Bank Sort Code.....................................	Your Account No......................................

Please pay the sum of Ł18 on .................. quoting reference.........................and thereafter Ł18 on the same day each year until further notice, from my account to:
	The Association for Shared Parenting
	Account No.: 56262151
	Yorkshire Bank PLC (05 09 66)
	19 Digbeth, Walsall, WS1 1PZ.

Name:...........................................	Signature.:...........................................
Address:........................................	Date:............................................
.........................................
.........................................
Post Code:.....................................

Please send this form to :	The Membership Secretary
	The Association for Shared Parenting
	PO Box 2000
	Dudley
	West Midlands

Send mail to owner@sharedparenting.org.uk with questions or comments about this web site.
Last modified: July 20, 2001