Special Interest Group For Community Development

Membership Application Form

Please provide the following contact information:

*First name

*Last name



*Work Address


*Postal code

*Work Phone


*Work E-mail

*Home Address


*Postal code

* Home E-mail


*Home Phone


*Membership No.


*Employing Trust/Authority .

*Any Previous Relevant Experience.

*Special Interests Relevant to the Group.


*Are you prepared to be contacted for your opinion in relation to your experience and interests?


*Are you prepared to be read and comment on documents in relation to your experience and interests?


*Can this form be held on the Committee Representative home computer for use by the SIG for Homelessness and the CPHVA?


Subscription fee is £10 for a year from October 2001

Make cheques payable to: SIG for Community Development

Please complete this form and forward with payment to:

Ms Marion Hamilon
29, Treseder Way, Cardiff, CF5

Tel. 02920 255 409