Application Form

I / We would like to apply for: Single Membership • Joint Membership
and I / we are Waged • Unwaged • an organisation (business or charity)
Have you been in membership of Exeter LETS in the past: YES • NO
If yes, please enter membership number if you remember it:

Name of Primary Member:
Name of Secondary Member (if any):
Organisation/ Centre/ Project (if any):
Street Address:
Town/borough: County/city:
Postcode: Country:
Primary Phone Number:
Secondary Phone Number:
Gender: Male/Female/Other: Date (or year) of birth __/__/____:

Most importantly, your EMAIL ADDRESS:
Please tell us how you heard of Exeter LETS.
If you were referred by a current member, they will get a bonus, so please do give us their name:

The annual subscription cost is: £7 (single), £5 (unwaged), or £10 (couple), £8 (unwaged couple). Please make cheques/POs payable to “Exeter LETS”. Electronic payments (via internet banking) are also possible, please mention in the box below if you would like to do this and we will send you the relevant details.

I have read the Members' Agreement and agree to abide by it. I agree to respect the confidentiality of other members of Exeter LETS. I do not object to my membership and account details being held on computer or other appropriate records, and I consent to the distribution of these details to other members.

Please use the message box for any additional information about your circumstances or information about your organisation, centre or project, any key offers and wants, and your aspirations for participating in Exeter LETS.

Signed . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . .

When you click the SEND MESSAGE button below, an email of the above information will be sent to the Membership Secretary, who will respond as soon as possible with payment details etc. If you go "back" on the browser you can see the form again. If you are paying by cheque, please print it, then send it with your cheque for the appropriate amount to: Membership Secretary, Exeter LETS, 39 Regents Park, Exeter EX1 2NY.