DISABILITY ACTION NORTH EAST

MEMBERSHIP FORM


Why not support our work by becoming a member.  All members receive a regular 
newsletter keeping them in touch with the disabled people’s movement.


Categories of Membership:-

Full Membership
Open to any disabled person over 16 years of age.  Only 
full members can vote or be elected to DANE’s Executive 
Committee.
Associate Membership
Open to non-disabled people and organisations of any 
type.  Associate members cannot vote, but are 
encouraged to participate and contribute their ideas and 
skills.
Junior Membership
Open to any disabled or non-disabled person under 16 
years of age.


Please tick the information that applies to you and return your subscription to the address overleaf:-

I/We wish to become a member of DANE

I/We wish to renew membership of DANE  


Full Membership (voting rights):
	
Disabled person (Waged £10)            		Disabled person (Unwaged £4)
	
Disabled person living in an institution (£1)  


Associate Membership (non-voting):

Non-disabled person (Waged £10)            	Non-disabled person (Unwaged £4)



Organisation run by disabled people (£10)

Organisation run by non-disabled people (£30)


Junior Membership (£1)	


What is your preferred format for receiving information?


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	Audio tape 

	Braille 

	E-mail

	Other………………………………………………………………………


Your Contact Details:-

Name:
Organisation:
Address:


                                                                                              Post Code:
Tele:
E-mail
Date:

We do not supply our mailing list to any other organisation.



Please return this form with your subscription to:  Disability Action North East
MEA House, Ellison Place, Newcastle upon Tyne.  NE1 8XS
Tele\Fax: 0191 230 4111  E-mail: info@dane.org.uk

 
 
 
 
Company Registration No. 3687837