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Junior Crew Club Group and Individual Membership Form

Please complete the following form, print it out, and send to:

Devon Air Ambulance Trust, Junior Crew Club, Unit 5 Sandpiper Court, Harrington Lane, Exeter, Devon EX4 8NS. Telephone: 01392 466666.





Individual Membership

 

Name
Address
Postcode
Age         
Date of Birth / /
Telephone
E-mail
Signature of Parent or Guardian
 

I enclose £5 cheque/postal order for my annual membership

If your parent/guardian wishes to pay by Standing Order
please ask them to ring us on 01392 466666 for a form.


Group Membership

I would like to enrol my group as Junior Crew Club members and I enclose
£ (£1 per member) for the group's subscriptions

Signed
Name
Name of Group
(in Capitals)
E-mail
Contact Address
Postcode