The Association of Spiritualists & Healers

12 Poppy Lane

Erdington,

Birmingham,

West Midlands

B24 0EJ

Tel: 0121 350 9169    email: spirit@ashcentre.co.uk

APPLICATION FOR MEMBERSHIP

OF ASH CENTRE.

Your Membership Subscription is £15.00. for the year 2012

If you would like to be a part of our Spiritual family, please complete all your details on the Membership form below and post it, together with your cheque, made payable to ASH - and send it to 12 Poppy Lane, Erdington, B24 0EJ.

It would be a great help if you would kindly enclose a Stamped Addressed Envelope for us to forward your current Membership card.

If you would like to receive regular updates about ASH activities and/or FUNNY & INSPIRATIONAL messages by email, please TICK the appropriate box on your Application Form.

We like to remember ASH members' birthday's by sending a Birthday Card,  so please remember to write down the date of your birthday!

It is important that all Development Circle Members first become Members of ASH  so that we grow Spiritually together.

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Application form for Membership of A S H Centre

Name: ....................................................................................................................   (in capital letters please)

Address  .................................................................................................................  (in capital letters please)

................................................................................................................................

Post Code ......................................................

Home Telephone Number:  ........................................................................................

Mobile Phone Number  ....................................................................................

Email Address  .................................................................................................

I would like to receive Emails to notify me of forthcoming events:            Yes              No

Birthdate  ........................................................................ (for Birthday card)

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If you wish, you can pay your ASH Membership by Paypal here: