THIS LETTER FORM IT IS SOLELY FOR THOSE WHO ARE: EMPLOYED/ OR CONTRACTED via a CASUAL SHORT TERM CONTRACT TO DEPT OF HEALTH OR DEPT FOR WORK & PENSIONS

IT IS NOT FOR CASUAL SHORT TERM MEMBERSHIPS (e.g. WY Playhouse) WHICH SHOULD BE ON A NORMAL (TYPE 2) ASSOCIATE FORM

HASSRA Leeds

Room 3S 25

Quarry House

Quarry Hill

Leeds

LS2 7UA

E Mail: hassra.leeds@dh.gsi.gov.uk

HASSRA

Thank you for your enquiry about joining HASSRA Leeds because you are employed on a temporary contract basis. Membership fees for casual staff is payable direct to the HASSRA Regional office and can be paid every 3, 6 or 12 months dependant upon the length of your contract. The minimum period you can join for is 3 months.

If you wish to join HASSRA, please complete the tear off below along with a cheque made payable to “HASSRA Yorkshire and the Humber” for the correct fee. Please send this to:

HASSRA Yorkshire and the Humber Regional Office, Room 1N35B, Quarry House

The Regional Secretariat will send a reminder when your membership is due for renewal again. If you change location, please let them know so that they can amend membership records.

Yours sincerely,

Isobel Todd

Hon Secretary HASSRA (Leeds)

Name....................................................................................................................................

Room Number/Contact Address.........................................................................................

Phone No..............................................................................................................................

Email Address......................................................................................................................

I enclose payment of:

*£15.60 for 12 months membership

*£7.80 for 6 months membership

*£3.90 for 3 months membership

Signature..............................................................................................................................

Date......................................................................................................................................

* please delete as appropriate