HAFCAC Campaigns in Hammersmith and Fulham to Break the Link Between Disabled People And

Membership form

HAFCAC campaigns in Hammersmith and Fulham to break the link between disabled people and poverty.

We aim to:

Join us!

We are a membership organisation. Membership is free.

If you want help filling in this form, please contact us.

I am a disabled person living or working in Hammersmith

and Fulham FULL MEMBER

I am not a full member but I support HAFCAC’s aims

SUPPORTER

As a member or a supporter we will keep you in touch with our campaigning work.

I can offer HAFCAC…

…my time

Please tick anything you could do:

Recruiting new members

Running a pub quiz – getting prizes and organising the quiz and raffle

Helping run the organisation

Campaigning – going to meetings or campaigning on the street e.g. for the mayoral elections in May 2016

Using twitter to advertise what we do

…something else?

Great! Please say what you’re good at and what kind of thing you’d be happy to do:

…..a donation

Please donate money by making a bank transfer to our account.

Account name:HAFCAC

Sort Code:08-92-99

Account Number:65366802

Or send us a cheque. Our address is at the bottom of this page.

My details

Name:

Email is quickest and cheapest for us.

Address:

Telephone:

Do you use twitter?

Your Twitter user name:

All done? Please send your completed form back to us by:

PostHAFCAC

c/o ADKC Centre

Whitstable House

Silchester Road

London

W10 6SB

Thank you

ADKC Centre, Whistable House, Silchester Road, LondonW10 6SB

Tel: 020 8960 8888 ask for ext. 21 to speak to us or leave a voice message

Web: