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I / We would like to join the Portland Village Association.

Type Of MeMbership (Please tick the appropriate box):

[ ] Individual . . . . . . . . . . . . . . . . . . . . . . . £15

[ ] Individual concession* . . . . . . . . . . . . . . . . . £5

[ ] Couple . . . . . . . . . . . . . . . . . . . . . . . . £20

[ ] Couple concession* . . . . . . . . . . . . . . . . . . £8[ ] Local Non-Prot Making Organisation . . . . . . £25

[ ] Small Business (under 10 employees) . . . . . . . . £30

[ ] Large Business/Corporate Member . . . . . . . £100

*over 60’s or student under 25

payMenT OpTiOns:

[ ] I wish to pay by standing order (see reverse)

[ ] I enclose a cheque payable to the “Portland Village

Association”

[ ] DeCLaraTiOn

— please tick this box to indicate thatyou do not object to the Portland Village Association ho lding

your membership details on computer. The Association wil l

not disclose this information to any other part y.

DeTaiLs:

Title .......................................Surname ..........................................

First Name ......................................................................................

Partner’s Full Name .......................................................................(Joint member ship on ly)

Organisation and position ............................................................(Business membership only)

Address ...........................................................................................

Postcode ...........................Telephone ..........................................

E-mail ..............................................................................................

Signed .........................................Date ..........................................

 appLiCaTiOn fOr MeMbership

MeMbership fOrM

Pnd Vige ssciin

82c Portland Place

London W1B 1NS

cnc:

info@portlandvillage.co.uk

www.portlavlla.o.uk

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TO The Manager

Your bank ........................................................................................

Branch name ..................................................................................

Branch sort code [ ] [ ] [ ]

Branch address ...............................................................................

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

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

Postcode .........................................................................................

Please pay from Account No .......................................................

the sume of  £ ........................................to the order of Por tland

Village Association Ltd, Account No. 9564080, HSBC,

7 Great Portland Street, London W, Sort code 40-03-5,quoting

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

Organisation ..................................................................................

Postcode .........................................................................................

upon receipt of this order, and annually on the anniversary of 

this date, until the Order is cancelled by me in writing.

Signed .............................................................................................

Date .................................................................................................

Please complete the standing order form and return it to:

h raurr

Portla Vlla oato

82 Portla Pla

oo W1B 1ns

sTanDing OrDer ManDaTepOrTLanD ViLLage

 assOCiaTiOn

Portland Village is a surprisingly calm and

friendly area in which to live, and yet, it is

an important business and communication

hub with a vibrant restaurant scene

and excellent local amenities. With a

rich local history, important national

institutions and adjacent to Regents Park,

it has a wonderful character and feel.

—

The Portland Village Association is a

not for prot, non political voluntary

organisation collaborating with The

Marylebone Association to further

enhance Portland Village as a wonderful

place to live, work and visit.

ObjeCTiVes

 → Preserve a lively community

→ Link local residents and businesses

→ Coordinate the marketing of the area

→ Enhance amenities

→ Furtherance of the greening

of the streets

→ Promote and project the interests of 

residents, businesses and stakeholders

→ Consult local government

on issues of concern

→ Work with neighbouring communities

→ Promote safety and security