Part 1  
Renewal of individual membership
June 2009 - May 2010
I wish to renew my Individual membership of the Bereavement Research Forum and enclose a cheque for:
[  ]
[  ]		 £18.00 (Unwaged/student/retired)
£30.00 (Individual)
1 Your details:  
Name    
Organisation    
Role  
Address      
Telephone    
E-mail address   
To save postage we will continue to communicate with you by email.

Please tick the box if you would prefer to be contacted by post        [  ]
Signed

Date 		  
2. BRF Database

Please complete the Renewal of Database Details Form overleaf and send, together with your cheque, made payable to the Bereavement Research Forum, by 31st May 20...... to:

Sarah Wilson, BRF Administrator
6, Copse Close, Plympton, PLYMOUTH PL7 1QD
Tel: 01752 763666.

Email: bereavementresearchforum@googlemail.com