CENTRAL STERILISING CLUB

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					                      CENTRAL STERILISING CLUB
             MEMBERSHIP APPLICATION FORM
                                                                                      MEMBERSHIP
Name ..........................................................
Address                                                                   Membership is open to any individual or
………….......................................................               company actively engaged in sterile product
.......................................................................   manufacture,       control      of      microbial
.......................................................................   contamination and associated techniques
.......................................................................   and research or training activities. There are
Email address                                                             two membership grades:
……………………………………………………
                                                                          Personal - this possesses full voting rights
Place of work                                                             and has a current annual fee of £10
.......................................................................
Occupation                                                                Corporate      -   this   is   for   commercial
…………………………………………………...                                                    companies but possesses no voting rights.
Professional Interests                                                    The current annual fee is £50.          Individual
…………………………………………..........…                                               employees      may    also     obtain   personal
…………………………………………………...                                                    membership if they wish.
Membership
PERSONAL / CORPORATE *                                                    To apply, please complete the adjacent
                                                                          form, obtain name and signature of a
Company name (if corporate membership)                                    current member and send it with your fee of
.......................................................................   either £10 or £50 as appropriate to:
Signature of one supporting Club member
                                                                          Jim Reid
.......................................................................   CSC Treasurer
                                                                          52 Main Street
Supporting member’s name
                                                                          Dalry
.......................................................................   Castle Douglas
Applicant’s signature                                                     Kirkcudbrightshire
                                                                          DG7 3UW

................................…………………………...                             E-mail: jim.reid@synergyhealthplc.com
Date ............................................................
                                                                               Please make cheque payable to
                                                                                  “Central Sterilising Club”

				
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posted:9/29/2012
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