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(Please Print) First Name Last Name Address . Postcode Telephone Numbers Home .Mobile .Work .. Email . Community Group/Business . Issues of interest Signed Date Date agreed by Trustees Signed on behalf of Trustees by the Chair ... Post to: Kenya Sue Smart c/o 6 Malfort Road Camberwell London SE5 8DQ E-Mail: camberwellforum@aol.com Due to changes to the Camberwell Community Forum Ltd rules we now require all past members to sign this document. Membership of the Forum is open to any individual (or organisation) interested in promoting the Objects who: applies to the Forum in the form required by the Trustees, is approved by the Trustees and signs a Register of members or consents in writing to become a member, (either personally or (in the case of a member organisation) through an authorised representative). Camberwell Community Forum © is a Community Company Ltd by Guarantee (Company number 5066874) | ||||||||||||||||||||||||||