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SUPPORTING THE VOLUNTARY ARTS SERVICES IN HILLINGDON
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APPLICATION FORM FOR MEMBERSHIP [ORGANISATIONS]

If your organisation is a Part of/a Branch of/or Run by a parent international/national/local organisation which is a Charity/voluntary body/Statutory Authority/Church, etc., please give the name of the Parent body below.

Enter below details of the person who will represent you at our meetings, and has the authority to vote on behalf of your organisation.  This person will be sent notices and minutes of meetings.  This information is required.

Enter below details of the person who will deputise for your representative if he or she is unable to attend a meeting, and has the authority to vote on behalf of your organisation.

Postcode

Website [URL]

 

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Name of Organisation

Give a brief description of your main Art activity, e.g. Drama, Music, Painting, Visual Art, Dance etc

Please select one of the following for your type of organisation

Approx. Number of Members [for Societies] or number of employees [for other organisations]

 

Other, Please state

If your organisation has its own premises please enter the address below.

Telephone 1

 

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Please enter details of your Secretary.  The phone number will be published for anyone who wishes to contact your society.  If you do not wish this made public then leave Telephone 1 blank and fill in Telephone 2 instead. If Address has already been given just enter “As Before”

 

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Please enter the details of your Treasurer.  If you have already given the person’s address above just  put “As Before”

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Please enter the details of your Chair. If you do not have one then you can change the title below.   If you have already given the person’s address above just  put “As Before”

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Please enter the details of any other Officer.  If you have already given the person’s address above just  put “As Before”

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Please enter the details of any other Officer.  If you have already given the person’s address above just  put “As Before”

Postcode

Telephone 1

Email Address

Telephone 2 or Mobile

Title

Person’s Full name

Name of person submitting form

Position

WE DECLARE THAT

Please state the Area where you usually meet

Address Line 1

Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

Address Line 1
Address Line 2

Town

County

We agree to receiving communications by Email at this Address.

If your society has its own website then please enter it below.  We will then put a link to it from this one.

Use this online form if you wish to receive all communications by Email

We subscribe to the Objects of the Hillingdon Arts Association (see “About Us” page on this site).

We agree to pay the Annual subscription laid down from time to time by the Executive Committee. For 2008/9 this is £13 to receive communications by Post, and £7 for E mails

 

We do not object to these details being entered on the Charity’s  Register of  Members  [See Privacy Policy on this website]