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Membership Application Form | Members at National Level | Get in touch|Diocesan Youth Services

Please print off, complete and return this form by post

Name ........................................................................................................................

Diocese/Organisation .................................................................................................

Position Held .............................................................................................................

Address ....................................................................................................................

.................................................................................................................................

Telephone .................................................... Fax ......................................................

Email ........................................................................................................................

Membership

• By annual subscription, September to August

• Current fee is £30 for the first member of a Diocese or Organisation and then £20 for each additional member thereafter

• Is not transferable

I enclose a cheque for ........... being my subscription to membership for September 2001 to August 2002

Please make all cheques payable to 'PACYO' and return this form to:

Tricia O'Brien (PACYO), Southwark Catholic Youth Service
135 Nightingale Lane, London SW12 8NE

Signed ......................................................... Date .....................................................

PACYO is a constituent body of the Catholic Youth Services, an agency of the
Bishops' Conference of England and Wales - Registered Charity 305981