Membership Application Form

Enquire/Join Sheffield LETS

Your Name:
Organisation/ Centre/ Project (if any):
Street Address:
Village/neighbourhood:
Town/borough: County/city:
Postcode: Country:
Primary Phone (with area codes):
Secondary Phone (with area codes):
Website (if any):

Most importantly, your EMAIL ADDRESS:

I heard about Sheffield LETS from:
Please let us know your year and month of birth.

Please add relevant information about your circumstances regarding work, disabilities, etc and/or details
of your organisation, centre or project, any key offers and wants, and how you could help with the running
and/or promotion of Sheffield LETS.

I would like to join Sheffield LETS and will pay a joining fee:
Individual Membership Fees:
Waged = £10 Low-waged = £7.50 Unwaged = £5
Organisational Membership Fees Unfunded Community-based = £10 Funded = £25

I will pay directly into the LETS bank account : Sort Code: XX-XX-XX, Account Number: 00000000.
(please include your full name in the reference field)
I will post a cheque or PO with this form I will bring cheque/PO or cash to a meeting
I understand that my membership and account details will be held online and consent to the distribution of those
details to all other members of Sheffield LETS (postal addresses remain confidential).
I understand that fees in STONES may also be taken in order to provide a budget for managing the system
I have read and agree to be bound by the Constitution and the Membership Agreement.

This form reaches us as an email message when you click the SUBMIT button below.
Once you have submitted this form, if you would like to pay your fee by cheque, please print out this form and send it with
your cheque/PO, made payable to "Sheffield LETS" to the following address

Sheffield LETS, c/o Regather Co-operative, 57-59 Club Garden Road, Sheffield S11 8BU.