Please print off this form, complete and send as detailed below to apply for membership of the North West Energy Forum.

Membership Application Form

 

Name*	........................................................................................
Company Name (if applicable)	........................................................................................
Address*	........................................................................................ ........................................................................................
Postcode*	........................................................................................
Telephone	........................................................................................
Fax	........................................................................................
E-mail Address*	........................................................................................
Please provide a brief description of organisation's activities	........................................................................................ ........................................................................................
Tick here if you require a receipt?	□

Please note, items marked * are mandatory.

Individual Membership Subscription (1st January to 31st December) - £50.

Payments by cheque only please, made payable to 'North West Energy Forum', and send to the Treasurer at the following address;

Simon Barker
21 Berryfold Way
Astley
Tyldesley
M29 7PT

For enquiries about membership only, please contact the Treasurer:

For all other enquiries, please contact us at enquiries@nwef.net