OLD PALACE SCHOOL OF JOHN WHITGIFT

OLD GIRLS ASSOCIATION

Please complete the following details and return to the address below

       NAME ..........................................................................................

       MAIDEN NAME IF APPLICABLE .................................................

       ADDRESS ....................................................................................

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

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

       TEL. NO. .................................

       E.MAIL ADDRESS ....................................................

       AT SCHOOL FROM .............. UNTIL ..................

       HOUSE .............................


       * I WOULD LIKE TO BECOME A LIFE MEMBER AND ENCLOSE CHEQUE
        FOR £70.00 (cheques made payable to OPOGA)

       * I WOULD LIKE TO BE AN ANNUAL MEMBER AND ENCLOSE CHEQUE
        FOR £10.00

       (*Please delete as applicable)

       This information will be held on computer. It will only be available to the Chairman,
       Secretary, Membership Secretary and Treasurer and at no time will anyone's details be
       given to another member without specific permission.

       PLEASE KEEP THE MEMBERSHIP SECRETARY INFORMED OF ANY
      CHANGE OF ADDRESS OR STATUS.

The Membership Secretary (Miss Nicola Hawes)
OPOGA
24 Biddulph Road
South Croydon CR2 6QB
E.mail: nicola@24biddulph.fsnet.co.uk
Tel. No 020 8660 7589