Newham CSM
Please complete and return this form to: Chris Aubrey, 27 Field Road, London E7 9DW
I wish to join Newham CSM.
Personal details
Title
Surname
Forename(s)
Address
Postcode
Home telephone number
Mobile number
E-mail address
Payment by cheque
I enclose a cheque for £ 10 (£5 if unemployed) made payable to Newham CSM.
Signed
To join the National CSM please click on the following link. http://www.thecsm.org.uk/downloads/currentmemform.pdf