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Application for a PHGAS membership

I wish to join the Paignton Home Garden & Allotment Society.

Date: Wednesday 10th March 2010
Membership type : Single Joint
First name:
A second name is only required for joint membership.
Second name:
Telephone (Home):
Telephone (Work):
Mobile:
Email:

Please note that AT LEAST ONE METHOD OF FAST CONTACT IS REQUIRED, preferably two. If you are accessing this page you probably have an email which will allow us to send you information directly, which will save the society the cost of postage, and this is a preferred contact method for us.


Address:
Town :
Post code:


Unfortunately we cannot accept payments over the internet. Please print the form and send it, along with a cheque for (Single £3.00, Joint £5.00), to the sectretary at:

59a Dartmouth Road
Paignton
TQ4 5AE