APPLICATION FOR MEMBERSHIP OF CCMJ
Please supply your full contact details so that we can link you up with other members in your area.

My Name:
Organisation:
Street Address:
Neighbourhood: Borough:
County/city: Postcode: Country:
Primary phone: Secondary phone:
Website (if any):
Most importantly, your EMAIL ADDRESS:

By submitting this form I am making a request to join the Christian Council of Monetary Justice.
I do not object to my membership and account details being held on a database.
I understand that on the current joining fee is: £10.
I am willing to help with the running of the scheme by doing administrative work, and/or helping to organise local meetings- please put details in message box.
I was referred to CCMJ by:

Please write in this box details of your own circumstances or information about your organisation, centre or project, previous involvement with monetary reform, and your aspirations, if any, for the development of the organisation.


• I would like to send a joining fee to CCMJ, suggested amounts £100 (supporters) £25 organisations and businesses), £10 individuals, £5 concessions by cash at a meeting by PAYPAL - info@ccmj.org online to CCMJ's account sortcode 070093, account no 33333334 • by cheque to "CCMJ" at the address below:


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

Once submitted, you can go back on the browser, and print it out to accompany your cheque -
You can hand in your application at the introductory meeting/social or post it to the office:

Rev Canon Peter Challen, Chair CCMJ, 21 Bousfield Road, London SE14 5TP

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