FIRST NAME (BLOCK CAPITALS):		__________________________________________
SURNAME: (BLOCK CAPITALS):		__________________________________________
PLOT NUMBER(S):				____________________Hurst Road / London Road
ADDRESS:	______________________________________________________________
     ________________________________________POST CODE: ____________
TEL:		____________________________________________ (home and/or mobile)
EMAIL:	_______________________________________________________________
I confirm that I wish to join TATA, for the year to October 30th, 2024, and agree to TATA holding the above details on computer / paper, and to my details being forwarded to the National Allotment Society (NSALG) as part of the affiliation process.
Signed: __________________________________			Date: _______________
Please note: TATA membership fee includes free personal liability insurance, for the named (or first-named) person, provided by NSALG.

ANNUAL SUBCRIPTION FEE (includes NSALG affiliation fee of £3):			£ 5.50
OPTIONAL DONATION:										£____
TOTAL PAYMENT:											£____
Payment options:
* Bank transfer to:	TWYFORD ALLOTMENTS TENANTS ASSOCIATION                          Sort Code: 09-01-29, A/C No: 04052634. Use your surname as payment reference.
* Cheque payable to:	TWYFORD ALLOTMENTS TENANTS ASSOCIATION
* Cash
Please post or deliver cash and cheques to: David Bright, TATA Treasurer, 71 Orchard Estate, Twyford, RG10 9LB
Please include this completed form OR email it to twyfordallotments@gmail.com
(pdf or doc/docx electronic formats accepted, signature not required on doc/docx forms).