Application for Membership of the International League of Religious Socialists

Enter your e-mail address:

Name of Organisation:

Statement of Aims of Organisation (attach if necessary):

Date of meeting when these aims adopted:

Number of Members:

Affiliation to other organisations in your country (political party, etc.):

Chair/President:

Contact Address:

Secretary:

Contact Address:

Treasurer:

Contact Address:

Address for ILRS Correspondence (please include telephone, e-mail and website if you have one):

The above organisation, at its meeting on (enter date),
agreed to support the aims of the ILRS and requests affliation.

Signed:

Position in organisation: