Membership Application Form

I/We wish to join Friends of Abbey Fields

Please complete all the details requested below. Fields marked * are Required

Name of First Applicant *

First

Last

Email (First Applicant) *

Confirm Email

1st Applicant Phone Number *

Name of Second Applicant for Joint Membership - if applicable

First

Last

Email (Second Applicant)

Confirm Email

2nd Applicant Phone Number

Address - Please enter your full address, including Post Code *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

DECLARATION: I understand that the members of the committee may hold my details on a computer, but that these will be used only by members of the committee in connection with my membership of the Friends of Abbey Fields. We will not pass your personal information to other organisations *

By selecting this I confirm my understanding and acceptance of the declaration.

PAYMENT - Please pay via BACS or Standing Order to 40-26-04 81330209 Please remember to use your surname/last name as reference on BACS or SO payment. Alternatively you can pay with a cheque made payable to ‘Friends of Abbey Fields’, which you should send with a covering letter to: Membership Secretary, 16 Towers Close, Kenilworth Warwickshire CV8 1FG *

I have sent a cheque in payment
I have made a BACS payment
I have set up a Standing Order

Membership fees are £7.50 p.a. per adult. Children aged under 18 years of age will be included FREE of charge with at least one parent being a member.

Important Notes:

Note 1 Our membership year is 1 July to 30 June the following year.
If you join between 1 July and 31 December your first renewal date is 1 July the next year.
If you join between 1 January and 30 June your first renewal date is 1 July the following year

Note 2 We will be unable to process this application if we have not received your payment within 7 days