To become a member of ACC EAST MIDLANDS  print this page.
Fill in the application form and post to the address below

The ACC East Midlands Membership Application Form

[ ] I would like to take out an annual membership to the ACC East Midlands for 25. Pounds

Mr/Mrs./Miss/Ms_______ First Name________________ Surname_________________

Address: _______________________________________________________________

______________________________________________________________________

__________________________________________ Postcode: ___________________

Telephone Number: ______________________________________________________

Email Address: __________________________________________________________

Payment Details

[ ] I enclose a cheque for 25.Pounds made payable to ACC East Midlands


Signature:_________________________________________ Date: ________________


If posting your membership form, please return to:

The Organiser, ACC East Midlands,  1, Newmanleys Road, Eastwood, Notts.  NG16 3JD