Please complete and return to :
Clerk to the Conservators, Mrs C Davidson,
39 Tredegar Road, Caversham,
READING, Berks, RG4 8PF
Please enrol me as a "Friend of
Nettlebed and District Commons".

Name:____________________
Address :__________________
_________________________
_________________________
_________________________
Post Code:____________
Telephone:_________________

Please complete the standing order form for
us to send to your bank. Alternatively you
may send a cheque payable to :
'Nettlebed and District Commons Conservators'
(Minimum £10, please give more if you are able to)

I authorise you to pay the sum of

£_________ to the Nettlebed and
District Commons Conservators,
(bank a/c :00662194 20-39-53).

The first payment to be made
immediately and thereafter on 1st April
annually.

Banker's name and address :
____________________________
____________________________
____________________________

Account number :_______________
Sort code:_____________________

Signature:_____________________
Date:________________________