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The  Compulsory  Annuity  Purchase  Protest  Alliance

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SCRAP THE TRAP!

TO JOIN US

Please print off this questionnaire, complete it and post it, with your donation, to Tony Davies, Membership Secretary, CAPPA, 85 Oldfield Rd.SHEFFIELD, S6 6DU.

This is the basic information we need to enrol you. Your donation will help us fund the fight for pensions justice. 

If you have any difficulty with printing or posting this page, please email the information to  and you will get a response as quickly as we can.


Surname                                                  Initials                       Mr/Mrs/Ms

House number/name and Street name

Postal Town                                                                               

Post Code

Year of birth                              email address

Telephone No:                                                                      

Fax No:

Name of MP                                                                      Political Party of MP

Names of Spouse, Partner or other Dependant (over age 18) whose current or future security might be prejudiced by Compulsory Annuity Purchase.

(Please list all names, as CAPPA needs to swell the numbers of all people genuinely concerned, to add impact to this campaign)

How did you come to hear about CAPPA?

Please can you help by making a donation of at least £25?  If so, how much?     £

Do you need a receipt?   Yes        No

Do you need CAPPA information leaflets for others, who might be in the Compulsory Purchase Trap?
If so, how many?

Can you offer any other help, contact names and addresses, or specialist help on a donated time basis? If so, tell us below, or on the back of the printed-out page:

Are there any friends to whom you would like CAPPA to post an information leaflet about our campaign?  if so, just write their names on the back of this printout sheet.

HELP US FIGHT FOR PENSION JUSTICE NOW!

THANK YOU