Membership Application Form
1.
First Name
2.
Surname
3.
Address line 1
4.
Address line 2
5.
Address line 3
6.
Postcode
7.
E-mail
8.
School / Establishment
9.
Council / Employer
10.
Catergory
£25 Individual Membership
£50 Full Group Membership
£250 Full Corporate Membership
£10 Student Membership
11.
Payment Method
Cheque
Direct Debit
Invoice
12.
Gift Aid
Please treat my subscription as a Grant Aid Donation
13.
Other
If you wish to add any addition information please do so here