MEMBERSHIP APPLICATION 
I/we enclose my/our remittance as shown below for ESTA membership.  (Please make cheques payable to East Suffolk Travel Association).
	
Name:....................................................................................................................................   
Address..................................................................................................................................
...............................................................................................................................................
.........................................................................................Postcode.......................................
Membership rates		Individual  £7 for 1 year          (   )
				Individual  £21 for 4 years      (   )
				Joint    £7 for 1 year               (   )   Please tick selection
				Joint    £21 for 4 years           (   )
				Corporate  £7 for 1 year         (   )
				Corporate  £21 for 4 years     (   )

Amount enclosed:       	Membership       ............	
                                               Donation            ............
				Total                 £............

Please indicate here if you wish to receive your quarterly ‘ESTA News’  by post    (   )
OR  here if you wish to receive your ‘ESTA News’ by e-mail    (   ) 	and provide your
email address ........................................................................................................
Electronic Banking details:-
Co-operative Bank
Account Name   	East Suffolk Travel Association
Sort Code 		08-92-99
Account Number   	65655830

Please print and send with your remittance to ESTA Membership, 5 Digby Close, Martlesham Heath, Ipswich, Suffolk, IP5 3UD, or send by e-mail to  members@eastsuffolktravel.org.uk  confirming e-banking payment details.