Full Name: Postcode: Landline/Mobile: Email: Preferred Contact Method (tick all that apply): EmailTelephonePost Address: Membership Selection: Ordinary Membership: 1)Aged 16 or over 2)Resident/Working in Plean or surrounding area 3)Registered to Vote 4)Supports the purpose of Plean's Voice. Junior Membership: 1)Aged 12-15 2)Supports the purpose of Plean's Voice. Ordinary MemberJunior Member I CAN CONFIRM THAT I AM APPLYING FOR MEMBERSHIP OF PLEAN'S VOICE (SC052271) ACCORDING TO THE SELECTED MEMBERSHIP TYPE ABOVE AND WILL COMPLY WITH THE PLEAN'S VOICE (SCIO) CONSTITUTION.