Name …………………………………………………………………………………..
Address………………………………………………………………………………..
……………………………………………………………………………………………
Post Code…………………..………..………..………..………..………..………..
Telephone Number…………………………………..………..………..………..
email……………………………………………………………………………………
Single membership…………………………….. £7.50
Joint membership………………………………. £12.50
Additional member at same address…….. £5.00
Corporate membership………………………… £30.00
(Businesses, firms, schools and colleges, etc.)
Cheques to be made payable to “Cockermouth & District Civic Trust.
Please print off and send to:
The Treasurer,
Cockermouth & District Civic Trust,
6 Helvelyn Close,
Cockermouth,
CA13 9BJ
OR
The Membership Secretary,
Cockermouth & District Civic Trust,
57 Castlegate Drive,
Cockermouth,
CA13 9HD