Joining form

I would like to join the Withersfield Heating Oil Syndicate and agree 
to my details being passed to oil suppliers making deliveries and 
other syndicate members.
 
Please complete in capitals

Title………  First name…………………  Surname………………………...

Address………………………………………………………………….….....
………………………………………………………………………………….
………………………………………………………………………………….

Post code……………………………………...

Home phone No.……………………………..

Day time phone No………………………..…

Email address…………………………………………………………………………
If you have supplied an email address please agree to this being used
for syndicate communications to save time and cost.

Tank size .…………………… litres
Access issues driver should be aware of………………………………………………
………………………………………………………………………………………….......

Oil consumption:
Approx litres ordered at a time…………… 
How many times per year………………...
Current supplier(s)………………………………………………………………….…...
………………………………………………………………………………….……........
When do you next expect to require oil?……………………………………………..

How did you find out about the syndicate?………………………………………………………………….……

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