Yes! I would like to join
WHITEHOLME ORGANIC NETWORK

Name          ………………………………..........................................           
Address      ………………………………..........................................
                   ………………………………..........................................
Postcode    ………………………………..........................................
Tel No        ………………………………..........................................
E-mail        ………………………………...........................................

Standing Order
Name of Bank   ………………………………..................................
Address of Bank……………………………….................................
                          ……………………………….................................
Postcode           ……………………………….................................
Account Number………………………………................................
Sort Code          ………………………………................................

Pay Monthly (please tick)

• £10(minimum)
• £20
• £30
• Other £____

Until further notice starting on__________
(See below for help in choosing your payment)

To:  Whiteholme Organic Network,
A/c 30-91-66    00704114
Lloyds Bank, Lowther Street, Carlisle

Signature
Date