MEWN - Minority Ethnic Women's Network

Name

Organisation

Address 1

Address 2

City/Town

Postcode

Tel.

Fax.

Email

Membership catagory

Individual

£3.00 (for 3 years)

(Individual minority ethnic women living in swansea)

Organisation

£10.00

(National and local voluntary and other organisations of minority ethnic women)

Associate

£10.00

(Organisations whose work involves pursuing the interests of minority ethnic women. Associate members will not be entitled to vote but will receive regular information on the activities of MEWN Swansea)

Donation

I would describe my race or cultural origin as:

Pakistani	Bangladeshi	Indian
Chinese	Thai	Black Caribbean
Black African	Black Welsh	Vietnamese
Other

Any other race or ethnic group (please describe below)

My age is:

16-19	20-29	30-39
40-49	50-59	60+

Organisations:
Please outline your objectives and main activities/responsibilities

Please make cheque payable to MEWN swansea.
Send to: 24 Mansel Street, Swansea, SA1 5SQ. Please note your name and address on the back of the cheque, thank you.