Click here for an interactive
map of the constituency

MEMBERSHIP APPLICATION FORM

To join the Party please complete the form below
and return to 30 Rose St, Wokingham RG40 1XU.

I/We would like to join the Wokingham Conservative Association

Name..................................................................

Address ..............................................................

..............................................................................

Postcode.........................Tel No..................................

(The Conservative Party reserves the right to refuse membership to any individual)

Subscription

I enclose an annual subscription of £15..........
We enclose an annual subscription of £30..........
I/We would like to make a further donation of
£15.........
£25.........
£50.........
£100........
Other.......

Payment: I/We enclose a cheque for £____ made payable to Wokingham Conservative Association.

Two-Way Help: Can We Help Each Other?
(please tick)
I would like to apply for a postal/proxy vote............
I am interested in your social calendar ............

I am interested in becoming actively involved in:
Branch Organisation ................
Political Discussions ................
Delivering/Canvassing ................
Clerical/Administration ................
Transport on polling Day ................
Mutual Aid ................

You can either print this page off, complete it in the conventional fashion and post it back to us; or you can copy the form, cut 'n' paste it into this e-mail and click send. You can send the cheque on separately by 'snail mail'.