If you would like to join us, please print and complete this form and return it to our Membership Secretary:

Mrs Janine Watson

31 Sylvan Trust, Billericay

CM12 0AX











Post Code: __________________________________


Telephone: __________________________________


E-mail: _____________________________________


Please tick the appropriate box below


£3.00 Individual Membership


£5.00 Family membership     


Cheques should be made payable to Billericay Twinning Association.


I/We would like to join the Association and hereby agree to the above details being held on a computerised membership database for use solely for Billericay Twinning Association affairs.


Signature __________________________________________________________________


Date: ____________________