How to Join

To join the group, print the following form and post it with a cheque to Martin.
Martin's address is below.

Membership Form

Network MESH (West London)
M.E. Self Help in the West London area

Network MESH (West London) Membership 2008
We rely primarily on subscriptions and donations to finance the cost of the newsletter, which comes out 4 times a year. So would everyone who receives this please fill in the form below if you want to remain/become a member, and send it, together with a cheque, to Martin at the address below. Standard membership is £10. We would, of course, be grateful for any additional donation you can give. For those on low incomes, membership is £5 or free, as we wouldn’t want anyone to feel that they couldn’t afford to become or remain a member. Please tick as appropriate below.

I wish to become/remain a member of Network MESH

Please tick the appropriate amount.

I enclose a cheque
for £10……… / £5 ……… / DONATION £ ………(Please write amount.)

I am not able to give financial support at this time ………….

NAME……………………………………………………………………………………..

ADDRESS………………………………………………………………………………..

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…………………………………………….POST CODE…………………………….

TELEPHONE NUMBER…………………………………………………………………

EMAIL ADDRESS………………………………………………………………………..

Tick here ……… if you do not want your contact details circulated to other members.

I would like to help with the running of the group................

Please make cheques Payable to “Network MESH” and send with this form to
Martin Sondergaard, First Floor Flat, 145 Leighton Road, Ealing, W13 9DR.
Tel: 020 8840 9445. After 2.00 pm ONLY. Email: ms@sondergaard.f2s.com
Data will be stored and collated within the guidelines of the Data Protection Act and not
passed on to third parties.

Gift Aid Declaration
Please fill in the form below, if you have not done so before, ONLY IF you are a UK taxpayer. It helps us because we can claim 28p from the Inland Revenue for every £1 donated. The amount you pay in tax must at least equal the amount we claim in the tax year. Subscriptions count as donations.

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Network MESH (West London). Registered Charity No. 1099950

First name………………………………………Surname………………………………………

Address……………………………………………………………………………………………
…………………………………………Post code……………………….Date…………………

I want all donations I’ve made since 6 April 2000 and all donations in the future to be Gift Aiduntil I notify you otherwise.