Changing Attitude Ireland
Working for LGBT affirmation
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Membership

Changing Attitude Ireland Annual Subscription:

Individual/couple 

E10*/£7 students or unsalaried member    E/£……………

E15*/£10 Ordinary member       E/£……………

(* As the bank charges 4GBP to lodge a €uro cheque, we will accept euro subs in cash.)

Please return the form along with payment (by stg. cheque made payable to Changing Attitude Ireland) to the Treasurer: Changing Attitude IrelandCathedral Buildings 64 Donegall Street Belfast  BT1 2GT  

 Membership application
(Subject to the approval of the Steering Committee)

Title and name (Block Capitals)……………………………………………………………………

Mailing address………………………………………………………….

………………………………………………………………………………..

Telephone: …….………………     Email……………………......……

Diocese……………………………………..                                       

I the undersigned, permit these personal data to be kept on computer for CA Ireland purposes only.

 Signature(s) ……………………………………..…

…………………………………………………………...

We welcome donations towards our expenses. All workers are volunteers.