Membership Form

To use please print and complete manually.

Name, Initials and Title ………………………………………………………….
Address………………………………………………………………………………….
……………………………………………………………………………………………..
………………………………………………Postcode ………………………………..
Tel …………………………………Email……………………………………………..

Initial payment method (please tick)
☐   Cheque enclosed
☐   Standing Order Payment Mandate included
☐   Internet Banking

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