European Women Charitable Association

in Northern Ireland ( EWcA NI)

Romanian Group
Membership Form 2019/20
This is a: New membership application Renewal * *Membership No: EWA RONI _ _ _ _
/ _ _ _ _ (YYYY)

PERSONAL DETAILS

Title Surname /
Nume
Forenames / Date of Birth /
Prenume Data nasterii

ADDRESS
House No/Name Phone (Home) /
/ Nr Casa/Apart. Telefon (fix)
Street / Strada Phone/ Telefon:
(Mobile)
Town/City / Oras
Post Code Country / Tara

e-mail address
* Please provide an e-mail address, as this is the cheapest way for EWA-NI to communicate with its members.

Signed / Date
Semnatura

What skills do you have, that

could be useful to the group?
/ Cum credeti ca puteti ajuta
comunitatea
Ideas to be promoted /
Idei pe care le doriti
promovate

Type of membership applied for. Please tick one option below / Va rugam bifati tipul de membru pentru care
aplicati:
Affiliate member / Membru afiliat: Free. You will be included in all of the EWcA NI email distribution
lists, invited to all AGMs and general meetings and consultations on future developments at EWcA NI.
This membership option does not enable you to vote on EWcA NI matters, nor stand as a trustee. / Veti
fi inclus in lista de corespondenta a Asociatiei si invitat la toate adunarile generale ale membrilor. Veti fi
consultat cu privire la dezvoltarea viitoare a asociatiei. Veti avea acces la serviciile oferite de asociatie
conform cu reglementarile aprobate in Adunarea Comitetului de Conducere. Nu aveti dreptul de vot sau
de a fi ales in cadrul asociatiei.
Full member / Membru cotizant: cotizatie £5/month (lunar). In addition to the ‘affiliate member’
benefits, full members are able to vote at AGMs and general meetings, as well as stand for election as
trustees. / in plus fata de membrii afiliati, membrii cotizanti vor avea dreptul de a vota in Adunarea
Generala si de a fi alesi in Comitetul de Conducere

Donations are gratefully accepted./ Orice alte donatii sunt acceptate cu multumiri
Please circle / Va rugam incercuiti: £5 £10 £20 £30 £50