SOUTH WEST 
ENERGY & ENVIRONMENTAL MANAGEMENT GROUPS

MEMBERSHIP APPLICATION FORM
(one form for each individual member application please)

Please accept this as my application to join the following SW EEMG (delete, circle or tick as appropriate):-

Avon & Somerset EEMG

Cotswold EEMG

Devon & Cornwall EEMG

Wessex EEMG

Personal details (please complete against all headings including email address):-

Salutation (Mr/Mrs/Miss/Ms/Dr):

Forename:

Surname:

Position held/Job title (if applicable):

Organisation:

Postal address:

Post Code:

Daytime telephone number:

Email address*:
*the rapid and no-waste method of communication for SW EEMGs

Data protection: Each EEMG maintains its own membership database. The database is only made available to committee members of the EEMG for administrative purposes, i.e. sending newsletters and occasional additional relevant information to members.

Membership subscriptions: Database registration is free of charge. Attendance at group meetings by you/your organisation will attract a subscription invoice. Annual subscription rates are shown on each EEMG's web page on: www.oursouthwest.com/eemg  

Send completed form by email to the Secretary for the particular EEMG that you wish to join (email address shown on group web page). Receipt of your application will be confirmed.

www.oursouthwest.com/eemg                                   
Version August 2011