APPLICATION FORM – sddfd foodies

(Please complete in block capitals)

Membership required (please tick) Single £10 per annum

Couple £15 per annum

Surname(s) …………...…………………………… Title ……...…….

Forename(s) ………………………………………………………………

Address ……...……………………………………………………………

……………………………………………… Postcode …………………

Telephone number ...……………………………………………………...

E-mail …………………………………………………………………….

Date joined ……………………………………………………………….

Signature(s) ……………………………………………………………….

Please forward your completed application form and payment to Allie Clark, Teignbridge District Council,

Forde House, Brunel Road, Newton Abbot, TQ12 4XX. Cheques should be made payable to SDDF&D.

For office use

Membership Number ………………… 1^st Newsletter ……………………………………

Payment received: Cash ………………………… Cheque ………………………………

Renewal reminder due …………………………………………………………………………