Gurkhas Nepalese Community Peterborough

 

Membership application of the GNCP

Date : Year .........../......./......
( Please write in Block Letters )
First Name : ....................................
Family Name : ....................................
Spouse Name : .....................................

Childern's Name:

1.:....................................
DOB:....................................
2.: .....................................
DOB:.....................................
3.:....................................
DOB:....................................
4.: .....................................
DOB:.......................................

MEMBERSHIP TYPES & FEES

Please check one box: (It is the same form and fee for renewal)

General Membership (per person) £5.00 Child free until the date of birth of 18
Life Membership £100.00 (single)
£150.00 (with family)
Family membership £150
Signature:....................................
 
Total amount £:....................................
MAILING ADDRESS :................................................................................................................................................................................................
Post Code : ...................................................................... Telephone : ......................................................................(Res) ..................................................( Mobile )

Email : ...................................................................................................

Payment Options

CASH MONEY ORDER DEBIT/CREDIT CARD CHECKS PAYPAL

MEMBERSHIP VERIFICATION(FOR GNCP UK

.................................................... .................................................... ....................................................
Date MEMBERSHIP CHECKED BY PAYMENT RECEIVED BY