APPLICATION for MEMBERSHIP or RENEWAL of MEMBERSHIP

I apply for membership/renewal of membership of the IAYFJM

Name	...............................................................................................................................
First names	...............................................................................................................................
Occupation	...............................................................................................................................
Address	...............................................................................................................................
Zip code	.........................................
City	...............................................................................................................................
Country	...............................................................................................................................
E-mail	…………………………………………………………………………………………….
Telephone	…………………………………………………………………………………………….

I want to receive any publication in (please mark one language):	English
	French
	Spanish

Date ............................................................

Signature ............................................................

Please send this application form with the amount of GBP20 to the treasurer of the Association

Mrs Avril Calder,

31 Uxbridge Road,

Kingston upon Thames, KT1 2LL,

United Kingdom

For further information : E-mail :ac.iayfjm@btintenet.com

GBP 20.00 represents the annual subscription and includes free subscription to the “Chronicle" of the Association. It may be paid either by cheque written in British Pounds and made out to the IAYFJM and sent to the treasurer
OR electronically using the PayPal facility available on the Association’s website at www.judgesandmagistrates.org under Application and Subscription
OR directly to the Association’s bank account, details of which are available from the Treasurer.