MONEW

www.monew.org.uk

Monmouth Enterprising Women

...supporting one another for a positive work-life balance

Surname: .................................................   First Name: ...................................................

Company Name (if applicable: ..........................................................................................

Title: ............. DOB: ..................

Address: ............................................................................................................................

.................................................................POST CODE: ...................................................

EMAIL: .............................................................. (our preferred mode of costs - keeps costs down)

Website: ................................................................. Phone: ..................................................

Mobile: ..................................................................  Fax: ......................................................

Pay by:    CASH  / CHEQUE  /  STANDING ORDER (delete as appropriate)

I wish to pay for annual membership for the period ...................................... (today's date) to

...................................... (date one year from today) of MONEW, a company limited by guarantee.

I agree to pay a membership fee of £36.00 (cash, cheque or standing order) which includes a guaranteed sum of £1 to contribute to the assets of the Company in the event of the same being wound up.

Upon registering as a member of the above-named company, I am entitled to one vote at General Meetings and understand that membership is subject to the Memorandum and Articles of Association of the Company. The Memorandum and Articles are available for inspection by all members and are kept at the Registered Office.

Emplyment status: ...................................................................................................................................... (This helps us tailor-make events to suit the whole MONEW membership)

What is your business and what would you like to sell, offer in services or trade? ...........................................

........................................................................................................................................................................

How did you hear about MONEW? ................................................................................................................

Signed: ......................................................................................... Date: ................................................

Please make cheques payable to MONEW and send with completed form to: Joanne Sparkes, Membership Secretary, Orchard House, Llangrove, Heredfordshire, HR9 6HA. Please request a receipt if required.

To set up a Standing Order please use the following bank details:

MONEW banks with Barclays, Abergavenny. Sort code: 20-00-85, Account number: 70424951 Reference - Your name please. Please indicate on your form if you have set up a standing order. Thank you.

STANDING ORDER MANDATE

Please complete in BLOCK CAPITALS and send to your bank.

To the manager Bank/Building Society: ..........................................................................................................

Full address of Bank/Building Society: .........................................................................................................

................................................................................................... POST CODE .............................................

Please pay Barclays Bank, 57 Frogmore Street, Abergavenny, NP7 5AT for the credit of MONEW, account number: 70424951, SORT CODE: 20-00-85  Reference: (Your name)..................................................

The sume of £36 (Thirty-six pounds) on the ............... (day) ..................... (month) .....................(year)

and therafter annually until further notice and debit my/our account accordingly.

Name of account holder to be debited:

Accout name: (as it appears on your account) ...........................................................................................

Account Number: .......................... Sort Code: ....................................

Your address: ............................................................................................................................

................................................................... POST CODE .........................................................

Your Daytime Telephone: .......................................................................

Signature(s): ....................................................................... Date ..............................................

MONEW is a community co-operative with limited liability, being a company limited by guarantee registered in England and Wales (No. 5290790)

Registered Office: c/o Nothing Nasty, Suite 2, 96 Monnow St, Monmouth NP25 3EQ