April 2017 to March 2018
Please fill in the boxes below and then submit the form to the Group by pressing the Submit button at the bottom of the page. Please make sure that the figures boxes giving details of the subscription and donation paid match those that you submitted to PayPal.
Member Second Member (where applicable)
Note: Where the boxes have R marked to the right of them, these boxes have to be filled in
otherwise the form cannot be submitted. In the case of the boxes for the subscriptions
or donations, where the boxes are not applicable, please write nil in them.
When you have completed the form, please press the submit button to the right.
Individual Membership (£14):
Joint Membership (£20) for two
people living at the same address:
Mr, Mrs, Dr. Etc.:
First Name :
Second member (where applicable)
Address Line 1:
Address Line 2:
Address Line 3:
Mobile Phone No.:
Email Address :