Application/Renewal 2019 - 2020

The Cercle français de Belfast offers three categories of membership as follows:

Individual: £25 ☐   Joint: £40 ☐  Student*£15 

*Student membership is available for those in full-time education.  Please supply details.

I/We would like to join/rejoin (please circle as appropriate)
the Cercle français de Belfast in the membership category ticked above.

I/We enclose a cheque made payable to Cercle français de Belfast

Name/s:   ___________________________ .   _______________________________

Address: _____________________________________________________________



Telephone: ____________________                   E-mail:________________________

Signed:  _______________________                   Date:_________________________

Please print details clearly and return your application with the appropriate remittance to:

Ray Largan, CFB Treasurer,
9 Dalboyne Gardens,
BT28 3BX