JACOB�S ISLAND RESIDENTS� ASSOCIATION - DOC

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					    jira

 Jacob’s Island     Residents’ Association

        JACOB’S ISLAND RESIDENTS’ ASSOCIATION (JIRA)
        For Providence Square, Providence Tower and Springalls Wharf


                               2012 MEMBERSHIP FORM

      Membership of JIRA is the best way for you to be kept informed on, and to
    influence, issues affecting your property. You will receive minutes of meetings
       (at least five per year) and additional JIRA communications. You can also
         attend Committee meetings if you wish, and Annual General Meetings.


Please print:

Forename:______________________              Surname:________________________


Resident Freeholder            Non-Resident Freeholder               Tenant
Resident Leaseholder                                     
                                 Non-Resident Leaseholder

Renewal of existing JIRA membership – YES/NO (delete as appropriate)


Address (at Jacob’s Island):                     Address (if non-resident):

______________________________                   ______________________________

______________________________                   ______________________________

Post code: _____________________                 Post code: _____________________


Telephone:        ______________________________


E-mail Address (please PRINT clearly):

                  ____________________________________________


Date:             ______________________           Amount enclosed: £ 10

Please return this form (together with your membership fee of £10 for
membership to 31 December 2012) to the concierge at Providence Square in an
envelope marked "JIRA Membership", or to Colin Hartridge-Price at 89 Providence
Square, London SE1 2EB.
Please make cheques payable to “Jacob’s Island Residents’ Association".
Acknowledgement of receipt of your payment will be sent to your e-mail address.

				
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