Membership Application
| Please enter your name: | Mr., Mrs., Miss, Ms. |
| Your postal address: | |
| Post town: | |
| County or state: | |
| Postcode: | |
| E-mail address: | |
| Telephone number: | |
| Fax number: | |
Which class of membership? (Please tick)
| Junior | (£4 UK, £8 overseas) | |
| Unwaged | (£4 UK, £8 overseas) | |
| Senior | (£4 UK, £8 overseas) | |
| Ordinary | (£7 UK, £11 overseas) | |
| Family | (£12 UK, £16 overseas) | |
| Friend | (£50 UK, £54 overseas) | |
| Life | (£200 UK, £325 overseas) | |
| Senior Life | (£100) | |
If your subscription is less than £10, please add £2 registration fee
| If you chose junior membership, please enter your date of birth: |
............................ |
If you wish to pay by means of your Credit or Payment card, please complete the following:
| Card issuer (please tick) |
|---|
| American Express | |
| Access | |
| Connect | |
| Mastercard | |
| Optima | |
| Visa | |
We are sorry that other cards
cannot be accepted. |
| Payment details |
|---|
| Card number: |
|
| Expiry date: | |
| Amount of payment | £ |
| Signature | |
|
Last amended 22nd February, 2000