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ON-LINE MEMBERSHIP APPLICATION FORM

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:


Donation:


Total :



R



R


R


R


Mr, Mrs, Dr. Etc.:


First Name :


Surname:

    Member  


R


R


R

       Second member (where applicable)

Address Line 1:


Address Line 2:


Address Line 3:


Postcode:


Telephone No.:


Mobile Phone No.:


Email Address :



R


R




R






R