Manchester Carers Forum - support and breaks for carers in Manchester, UK

Please fill in your details below, print the form off, sign and date it and then send it with your £1.00 membership fee to:
MCF, Unit 6, Cariocca East Manchester Business Park, 2 Sawley Road, Miles Platting, Manchester M40 8BB.

Application for Associate Membership.

Associate membership is available to interested individuals, voluntary, independent and statutory organisations.

Name of Organisation/Individual:
Nominated Representative:
Address of Organisation/Individual:
Telephone No
Fax No
Email address
Address for correspondence if different from above:

Telephone No
Fax No
Email address
The above individual/organisation wishes to apply for membership of Manchester Carers Forum. The organisation and its named representative/individual agrees to be bound by the Constitution and Rules of Manchester Carers Forum.
Signed:
Date:
Position in Organisation:

For office use only. Membership fee paid: Issued with membership Card Number: