Membership form

The Weymouth Louviers Society organises the twinning link between Weymouth Town in Dorset, England and the Town of Louviers, in the Eure department of Normandy, France.

WELCOME TO MEMBERSHIP OF THE WEYMOUTH LOUVIERS SOCIETY

£15 PER ANNUM

Mr/Mrs/Miss …………………………………………………………………………………………

ADDRESS……………………………………………………………………………………………………………………………

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POSTCODE: …………………………         TELEPHONE: ………………………………………………………………

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

DO YOU SPEAK FRENCH: YES / NO

We pledge that your personal information, including telephone number and email address will never be passed on to any other person or organisation and will be used solely for the Weymouth & Portland Louviers Society to communicate with you.

PLEASE PRINT THIS FORM AND SEND IT, WITH YOUR CHEQUE FOR £15 PER PERSON- PAYABLE TO THE WEYMOUTH – LOUVIERS SOCIETY TO
Membership Secretary Tom Martindill at 35 Roman Road, Radipole, Weymouth, Dorset. DT3 5JQ.   Telephone: 01305 778940.

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