Joining Form

    GLEAM - Green Lanes Environmental Action Movement - logo

    Green Lanes Environmental Action Movement

    PO Box 159, Otley, LS21 9BT

    I/we agree with the aims and objectives of GLEAM.

    I/we wish to join GLEAM and enclose a cheque/have made a bank payment.

    Please tick the appropriate box and make cheques payable to GLEAM or pay by internet banking to GLEAM,
    sort code 20-71-03, account number 10 76 01 37, including your name in the reference.

    When you have completed this form, please submit it using the submit button below, or print it out (print button below) and post it and your cheque to GLEAM at the address above.

    Contacting you
    Please tick the boxes below to give GLEAM permission to use the information you have
    supplied above to:


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