JOINING FRIENDS OF SKILLSHARE AFRICA

To become a Friend of Skillshare Africa or renew your current membership please print out and return the following form to Skillshare Africa, FREEPOST MID 16922, Leicester LE1 7ZU (for all UK correspondence) or Skillshare Africa, 126 New Walk, Leicester, LE1 7JA U.K. (for all international correspondence).

I would like to become a Friend of Skillshare Africa:

( ) £12 waged ( ) £6 concessions (student, unwaged, OAP)

I wish to make a donation of:

( ) £10 ( ) £15 ( ) £25 ( ) £50 ( ) £ other

I enclose a cheque made payable to Skillshare Africa for £_______

Please debit by credit/debit card, amount £_____________

Your name, as it appears on your card____________________________

Your address___________________________________________________________

___________________________________________________________________________

Card type _____________________________

Card Number________________________________________

Expiry date________________________________________

Signature_________________________Date_____________________

We need your postal address to send you your membership pack:

Name (Miss/Ms/Mrs/Mr)___________________________________________________________________________________________________________________________________________

Address___________________________________________________________________________________________________________________________________________________

Telephone/Email_______________________________________________________________

Skillshare Africa sometimes allows like-minded organisations to contact our supporters. Please indicate if you do not wish to receive these mailings. ¨

THANK YOU