LIBERAL DEMOCRAT
LAWYERS’ ASSOCIATION
Membership Application
To Jo Jackson, Secretary, Liberal
Democrat Lawyers Association, 9 Beech Grove,
Hampshire
PO12 2EJ
NAME (in capitals) .......................................................................................................................
OCCUPATION ............................................................................................................................
ADDRESS ....................................................................................................................................
......................................................................................................................................................
......................................................................................................................................................
Phone Nos.: Home:................................................. Work:
...........................................................
Fax: ......................................................
E-mail: ......................................................
DX ......................................................
1. I am a member of the Liberal Democrats and
wish to join the Liberal Democrat Lawyers’ Association.
2. I enclose my subscription (£50 recommended,
£30 minimum and £10 for pupils, trainee solicitors and students).
3. My principal field(s) of legal practice/expertise/interest
is/are:
Signed................................................................... Date
................................................................
&**********************************************************************************
BANKER’S ORDER: THE
LIBERAL DEMOCRAT LAWYERS’ ASSOCIATION
To:
......................................................... Bank
Ltd. Sort Code: ..............................................
Address: ................................................ Account Name: ........................................
.................................................................................... Account
No.: ...........................................
..........................................................
Please pay to the credit of the Liberal Democrat Lawyers’
Association at National Westminster Bank plc, Law Courts Temple Bar Branch, 217
Strand, London WC2R 1AL (Account No. 04223497; Sort Code 60-80-08) the sum of £ ………pounds only on the first day
of January 200… and thereafter on the first day of January in each subsequent
year until further notice.
Signed ......................................................................... Date:...............................................
Address: .............................................................................................................................
