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Membership
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As stated in our Aims and Objectives, Membership of COPING is open to anyone who is interested in furthering the objectives, is willing to abide by the constitution and pays the subscription fee as laid down annually by the Committee. Any Association or Organisation carrying out activities consistent with the objectives of this society may also apply for membership. Please note:- The committee has the right to refuse membership, although a written explanation will be given if requested. At present, our membership fee is £10 annually for individuals, £15 for family membership and £20 annually for associations/organisations. Membership
of COPING will give you the
following benefits
If you want to join, please paste/print and complete the following subscription form. This should then be sent along with a cheque/postal order made payable to COPING to:- Mrs Sandra Cunningham - Membership Secretary COPING - Derbyshire Chronic Pain Support Group c/o Derby CVS (Council for Voluntary Services) Charnwood Street Derby DE1 2GT. ------------------------------------------------------------------------------------------------------------------------------------------------ To the Membership Secretary,
Title:
Mr./Mrs./Ms./Miss./Dr.
............ Surname:
........................................................................................................ First
Name(s):
................................................................................................. If
applying for individual membership, are you a chronic pain sufferer?
YES / NO Please tick applicable age range - Under 18….. 18-30….. 31-45….. 46-59….. 60+….. Address:
.......................................................................................................…. .....................................................................................................................…… Postcode..........................................
Telephone: ..................................... For office use only Approved by Executive Committee: ...... Membership number............................ ------------------------------------------------------------------------------------------------------------------------------------------------
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