Amersham & District Residents Association
Application Form

Amersham & District Residents Association was formed in 1960. The committee, to which guests are welcome, meets monthly to discuss and act upon a variety of local issues, including Planning, Environmental  and Traffic matters, whilst working with the framework of the Association’s aims which are:
To encourage action which improves the quality of life in Amersham, Chesham Bois and the surrounding area;

To establish effective communication between residents and the Local Councils and other agencies;

To maintain an active, non party-political stance in local affairs, in order to represent all residents;

To nominate candidates for local elections and to support them fully.

The Association’s Newsletter is published in the Autumn each year and the AGM, which is usually lively and well-attended, is held in the Spring.

Join today. The greater our numbers (currently approximately 1500) the greater will be our standing in local affairs. A list of current committee members can be found in Amersham library. If you are concerned about any local matter please contact one of the committee members and we will do our best to help.

Please complete the Standing Order below and send it to ADRA Membership Records,
Michael Teychenné, Greenacre, 27 Copperkins Lane, Amersham, Bucks HP6 5QF, phone 01494 727278.

I/We wish to join the Amersham & District Residents Association.

Name(s)……………………………………………………………………………………………………………

Address……………………………………………………………………………………………………………

………………………………………………………………………………………………………………………

If you would like to save paper and postages and receive our Newsletter and other communications electronically, please give your email address here:

……………………………………………………………………………………………………………………………………………................

STANDING ORDER

To The Manager, (name of Bank)……………………………. Sort Code                 --                --

(Bank address)………………………………………………………………………………………………

Please debit my account number ………………………………………….

quoting reference: ADRA……………………………………………………. [please leave blank]

the sum of  £5  now and annually hereafter and pay to the account of

"Amersham & District Residents Association" sort code 20-02-06 account number 40109991
 

Signature…………………………………………………..….. Date…………../……..…./………….

Name .........................................................................................

...............................................................................................................................................................................................................................................

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