VALUES INTO ACTION

VIA MEMBERSHIP FORM



Please make me a member of Values Into Action.


                      (See below for details of subscription types and rates).

The type of subscription required is (tick one) :--

       Standard Individual Membership  _

     Low Income Individual Membership  _

        Unwaged Individual Membership  _


        Standard Corporate Membership  _

         Special Corporate Membership  _


My name ___________________________________________________


Organisation/group (required for corporate members):

___________________________________________________________


Address____________________________________________________


       ____________________________________________________


       Country___________________zip/postcode______________



Please send this form, with payment in POUNDS STERLING, to

      VIA (MEMBERSHIP)
      Oxford House
      Derbyshire Street
      London E2 6HG
                            UK

Cheques should be payable to VALUES INTO ACTION


Annual subscription charges are -

MEMBERSHIP TYPE ..........................EUROPEAN UNION...........REST OF WORLD
Standard member......................................£ 16.................................£ 18
Low income individual member..................£ 6...................................£ 8
Unwaged individual member.....................£ 2...................................£ 4
Standard corporate.member....................£ 30.................................£ 36
Special corporate.member........................£ 4....................................£ 6



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Page last updated 21/11/95