Application Form in Print

Application Form in Print

Scientists for Labour The socialist society promoting: Science, Technology, Engineering and Mathematics www.scientists-for-labour.org.uk I would like to join Scientists for Labour To work for the return and maintenance of a Labour government. To work to ensure that the government of the day maintains a clear commitment to science in the United Kingdom. To facilitate communication between the scientific community and the Parliamentary Labour Party, and to make available the advice and expertise of members of the Association to local and national Labour Parties and affiliated organisations. To promote greater debate and education on scientific matters, both within the Labour Party and nationally. To provide a forum for the discussion, debate and formulation of policy on matters affecting or affected by science, technology and research. To enable those working in science and technology to have a political voice. Please complete the application form in print Name: Address: Postcode: telephone: e-mail My special scientific interests are: Please tick as appropriate I am a member of the Labour Party. LP Membership No. I am interested in becoming a member of the Labour Party I am not a member of the Labour Party. I support the objectives of Scientists for Labour. I am not a member of any other political party. I agree to pay the current membership fee of £10 per annum (£5 unwaged members) I enclose a cheque made payable to Scientists for Labour I enclose a standing order form Signed Please return your completed application form to SfL Membership Secretary, Flat 10 George House, Chulsa Road, London SE26 6BU Thank you. We welcome your support. Chair: John Unsworth [email protected] Secretary: Paul Connell, 2 Redwood Close, Ross-on-Wye, HR9 5UD [email protected] Membership: Frances Downey, Flat 10 George House, Chulsa Road, London SE26 6BU, [email protected] Patrons include: Prof. Sir Tom Blundell, Sir Paul Nurse, Lord Rees, Lord David Sainsbury .

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