|
As
stated in our Aims and
Objectives, Membership
of
COPING is open to anyone
who is interested in furthering the objectives, is
willing to abide
by the constitution and pays the subscription fee as laid down
annually by the Committee. Any
Association or Organisation carrying out activities consistent with
the objectives of this society may also apply for membership.
Please
note:- The committee has the right to refuse membership, although a
written explanation will be given if requested.
At
present, our membership fee is £8 annually for individuals, and £16 annually for
associations/organisations.
Membership of COPING will give you the following benefits
If
you want to join, please paste/print and complete the following
subscription form. This should then be sent along with a
cheque / postal order made payable to COPING
to:-
Mrs. Angela Woodward - Membership Secretary
C/o 21, The Dove Dales, Park Road,
Mickleover,
Derby
DE3 0XL .
------------------------------------------------------------------------------------------------------------------------------------------------
To the Membership Secretary,
-
I would like to apply for individual membership
of COPING and enclose a cheque / PO for £8.............
-
We would like to apply for group membership of
COPING and enclose a cheque / PO for £16.............
Title:
Mr./Mrs./Ms./Miss./Dr.
............
Surname:
........................................................................................................
First
Name(s):
.................................................................................................
If applying for
individual membership, are you a chronic pain
sufferer? YES / NO
Please tick applicable
age range - Under
18….. 18-30….. 31-45….. 46-59….. 60+…..
Address:
.......................................................................................................….
.....................................................................................................................……
Postcode.......................................... Telephone:
.....................................
Date:
............................................…. Signature:
......................................
For office use
only
Approved by Executive
Committee: ......
Membership
number............................
------------------------------------------------------------------------------------------------------------------------------------------------
| 
