Aghaloo & Blackwater Community Association
Membership Application Form
If you are interested in becoming a member of our Association, please fill in your details below and
send the form either by post to the Chairperson or Assistant Secretary, addresses below or
alternatively email it to us at: abca@aghalooandblackwatercommunity.com
Name: ..........................................................................................
Address: ..........................................................................................
..........................................................................................
Post Code: ..........................................................................................
Phone No: ..........................................................................................
Mobile No: .........................................................................................
E-mail Address: ..........................................................................................
Membership forms should be returned by email to
mailto:abca@aghalooandblackwatercommunity.com?subject=Membership Application
Chairperson;
Kevin Corley
28 Curlagh Road,
Aughnacloy
BT696JF
Assistant Secretary:
John Ward
43 Caledon Road,
Aughnacloy
BT69 6HX