Weston-super-Mare Allotment Club

Title Mr/Mrs/Ms/Miss              Name in full

Address ……………………………………..

Post Code                    Telephone No

e-mail address ………………………………………………………..

Do you rent an allotment YES/NO

If yes please indicate the Allotment Site and your plot number

Hutton Moor ……………………..                   Plot No ……………

Locking Road 3                                   Plot No

Locking Road 4                                   Plot No

Clark’s Field, Rector’s Way                   Plot No

Castle Road, Kewstoke                        Plot No

Redpits                                              Plot No

Please enrol me as a member of the Weston-super-Mare Allotment Club and send me a copy of the clubs constitution.

I enclose £5.00 annual membership. Cheques should be made payable to ‘Weston-super-Mare Allotment Club.

Signature ………………………………………

Date ……………………………………………