AFFILIATION FORM

Please accept our affiliation to the Western Sahara Campaign for this year*
* Membership year runs from Nov 1st one year to Oct 31st the next, as we have an autumn AGM.

We enclose a cheque/postal order for £ ……………
(see below for rates. Please make cheques payable to ‘Western Sahara Campaign’.)

We have completed the Banker’s Order form below to make a regular donation
of £ ………… per month/year

Please send us ………… extra copies of the membership / affiliation leaflet and form

Please add us to an “urgent action alert” email list

Current recommended affiliation rates*

local branches : £30
regional organisations: £50
national organisations: £100

*The principle is “pay what you can afford”. If you can send an additional donation, or set up a banker’s order, it will be very much appreciated.

First names

Surname

Address

Postcode

Telephone no.

Please return this form to
Western Sahara Campaign, c/o War on Want, 56-64 Leonard Street, London EC2A 4LT

BANKER’S ORDER FORM

Please pay the Western Sahara Campaign the sum of £ ………………………..
each month until further notice and debit my account,

Account number ………………………………………………………………………………

Account name : ……………………………………………………………………………….

Sort code : …… - …… - ……

Starting on (date) : ……………………………………………………………………………

Signature : .……………………………………………………………………………………

To : Manager (your bank’s name and address) .………………………………………...

.……………………………………………………………….........................................

…………………………………….......... Postcode .................................................


To : Unity Trust Bank plc, 4 The Square, 111 Broad Street, Birmingham, B15 1AR
Western Sahara Campaign a/c 5400459950 quoting reference :

………………………………………