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NATIONAL ASSOCIATION OF RETIRED POLICE OFFICERS

MEDWAY & DISTRICT BRANCH 067

Application for Membership

Please enrol me as a member of the Medway & District Branch of NARPO

(Please Print in Ink)

 Intended Retirement Date:      /     /20     

 

 Title:                                                              Date of Birth:       /      /  

  Forenames:

  Surname:

  Address:

                                                                   Post Code:

  Partner’s Full Name                                                                             Date of Birth:

  Tele No:                                                      Mobile No:

  Email address:

  

 National Insurance No:

  Force from which Retired:

  Force or Pension No:

 

  I authorise deduction from my pension of subscription to Medway & District Branch of NARPO at the rate currently in force. I understand that:-

a) A new authorisation will not be necessary should subscription rates vary, and

b) If I wish to discontinue the arrangement, I must give notice in writing to the Branch Secretary.

 Signed:……………………………………………………………………………………

 Once this form is completed please forward it to Bruce Goldfarb, Branch Secretary, Medway and District Branch NARPO, 7 Saracen Fields,   Walderslade, Chatham, Kent ME5 9DG.

 The Secretary can be contacted on 01634.683034 or email jan-bruce-goldfarb@supanet.com.