SCOG Membership Application Form
Name ...............................................................................................................
Address ............................................................................................................
................................................................................... Postcode ......................
Telephone number ............................................................................................
Email address ....................................................................................................
Membership fee £10 per annum
Donation ...................................
Date .................................... Signature ...........................................................
Please complete this form, and send it with a cheque or postal order made payable to "Stamford Community Orchard Group" to the Secretary at Stamford Community Orchard Group, c/o Stamford Town Hall, St. Mary's Hill, Stamford, Lincs PE9 2DR.