Membership Form

Your Name

Address Line 1

Address Line 2

Address Line 3

Address Line 4

Address Line 5

Phone Number

Email Address

Date of Birth if under 18 (DD/MM/YY)

In accordance with our Constitution, the following questions have to be asked:

• May the Club keep your name and contact details on the Club database? Details will be kept on the Membership Secretary's private computer.   Yes No
  
  
• Do you want to be listed on the occasional lists sent to the organisers of local meetings? These are only sent to members of the club and simply show people's names and addresses (never telephone numbers or e-mail addresses without permission).    Yes No
  
  

The club holds a Bursary Fund to which members can apply for assistance to enable them to attend organised Club events e.g. AGMs. We would welcome any donation you may wish to make to this Bursary Fund. 

If you want to include a donation, however small, please indicate the amount here and add it to your Paypal payment:   


I paid by PayPal on   (in this format: DD/MM/YY)

Go to the club's PayPal page to pay for your purchase (the page opens in a new window) if you want to pay online.

Please send this form to the Membership Secretary