Tel: (027) 70718 Fax: (027) 70964 Email: info@thehavencentre.org

MEMBERSHIP FORM
Please print off, complete and forward with your Membership Subscription of €5

NAME:

 
ADDRESS

 

 

 

TEL. NO.  
MOBILE  
EMAIL:  

ARE YOU INTERESTED IN BEING AN ACTIVE MEMBER ON THE SUB-COMMITTEES? YES / NO.

IF SO - PLEASE INDICATE ON WHAT COMMITTEE YOU WOULD LIKE TO BECOME INVOLVED IN - CIRCLE WHICH

YOUTH | ELDERLY | LONE PARENTS | WOMEN | MEN | OTHER

IF OTHER - PLEASE SPECIFY:

At the Annual General Meeting held in October 2004, membership to "The Haven" was encouraged - with 10 new members signing up on the night. Membership is open to anyone in the area who wishes to support "The Haven" and it's programme. You can become active in carrying out the programme by joining sub-committees set-up or just a silent supporter.
The Fee is €5 - contact the office for Membership Form or print-off the form above and forward it with your subscription to the office at

The Square, Castletownbere, Co. Cork.

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