Membership Form

Please make a payment of £12, or £1, (£6 or 50p if you are over 60) for each month remaining before the 1st April. If you would like to become a Life Member, you can make a one-off payment of £60, (£30 if you are over 60).

Name *
E-mail Address *
Title
Address
Postcode
Home Phone
Mobile Phone
Are you?	New member Renewing membership
Membership Number (if known)
Are you?	Over 60 60 and under
I am interested in helping with
Other skills you have that may be useful
Gift Aid Declaration	I am a UK tax-payer - please claim Gift Aid on my membership I am NOT a UK tax -payer
	Where there is more than one member at the same address, we will normally just send one newsletter as this helps reduce admin costs. However, if this applies to you, and you would like us to post you an individual letter, please check this box

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