Carlton le Willows Grammar School Society

Membership Application 2012

Please complete this form on your computer, print it and post it with your cheque for £10 made out to C.L.E.W.S to the address below. Send your form to the Membership Secretary, Carlton le Willows Grammar School Society, The Willows, Little Lane, Calverton, Nottingham NG14 6JU.

Joint subscription is available for partners living at one address at £16 p.a. Each partner should complete a copy of the form: send both with a single cheque.

email membership@carltonlewillowsgs.org.uk for details of the Standing Order arrangement – include your postal address.

* starred details are optional
First Name(s)		Last Name
* Maiden Name		Year you joined School
		1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973
Address	* Telephone Number
* email address
* The information you provide will be used for Society administration purposes only. The details will also be published in the Membership List only issued to members and similar information may be published on the Society’s website. Please indicate below if there are some details you don’t wish us to publish, and in which form(s).
Please enrol me/us as a member/joint members of Carlton le Willows Grammar School Society until December 31 2012. I enclose my subscription of £10 (£16).
(Signed)		(Date)