2015: Individuals’ Membership and Registration Forms

LRC MEMBERSHIP FORM

I would like to join the LRC / renew my membership of the LRC* (*delete if not applicable)

It would help us if you were able to complete and return the Standing Order mandate, for a solidarity sum of not less than £2 per month. Alternatively to renew:
□ £10 - waged □ £5 – unwaged □ £1 – youth/student

NAME

ADDRESS

PHONE

TRADE UNION

LABOUR PARTY

OTHER ORGANISATION

REGISTRATION FOR LRC ANNUAL CONFERENCE 2014

Saturday 8th November 2014
10am-5pm (registration from 9.15am)
Friends House, 173 Euston Road, London NW1 2BJ

I wish to attend 2014 LRC Annual Conference & AGM

□ £15 – waged □ £10 low waged □ £3 – unwaged/outside London

I also include a supporting donation of £___________

I enclose a cheque, payable to Labour Representation Committee, for a TOTAL of £_________

Payments can be made through Paypal/Credit Card on our website: http://www.l-r-c.org.uk/shop

A free crèche will be available all day but it is necessary to register for places in advance. Please contact us – ideally by email to info@l-r-c.org.uk – as soon as possible to register for a place. We shall need your child’s name and details of any special needs they may have.

SIGNATURE:___________________________________DATE:________________

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