Download Membership Form

Become a Member

The Association is fully inclusive and welcoming irrespective of cultural background, religion or ethnicity.

Annual family membership fee is £35. Please fill up the membership form and email it to us at info@asianassociationchesterfield.org .

Please fill the form :

MEMBERSHIP FORM

ASIAN ASSOCIATION OF CHESTERFIELD AND NORTH DERBYSHIRE

Penmore Business Centre, Unit 3,
Saxton Close, Hasland, S410SJ
Tel: 01246 297452
Email: info@asianassociationchesterfield.org
Website: www.asianassociationchesterfield.org

NAME
ADDRESS
CONTACT EMAIL
TELEPHONE
MOBILE
NAMES OF FAMILY MEMBERS
PAYMENT METHOD
Paypal DETAILS Please pay your membership via PayPal to Asian Association of Chesterfield and N. Derbyshire. Please use our email address: asianassociation@obtmail.com to find us on PayPal.

Cheques should be made payable to Asian Association of Chesterfield & North Derbyshire

Details for bank transfer are: NATWEST BANK PLC, A/C 71432205, SORT CODE 60-40-09, CHESTERFIELD BRANCH

Are you happy to use your and your family members’ photographs taken during any events/meeting of the Association for its social media?
Photo consent:

Thank you!