Your Name
Name of partner (if joint application)
Address 1
Address 2
Address 3
Postcode
Telephone
Email address
Please select type of subscription	Single membership - £10 Couple at same address - £15 Income Support or Under 18 - £5
Do you wish to be an active member? If so, the following groups are currently active, please tick the group(s) you would be interested in:
	Community Arts
	Environment & Buildings
	Events and Activities
	Leisure & Tourism
	Transport
	Campaigning
	Membership and Fund Raising
If you have a skill you think would be useful to Go! Folkestone, please give details
Please print off this form by clicking on the print icon (left) and send it, with your membership fee to Ann Berry. 35 Birkdale Drive, Folkestone, Kent. CT19 5LP.