Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the club should it need your expertise.)

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

Category	Joining Fee	Cost
Full - Standard Any person compliant with the objects of the Society Applications between 1st March and 31st May receive a 50% discount. Applications between 1st June run until August of the following year Only available to people between the ages of 18 and 65 inclusive.	£15.00	£50.00
Discounted Membership Any person compliant with the objects of the society who meets any one of the following criteria:- is a full time student not in full time emplyment is 65 or over at the age of next renewal lives outside a 20 mile radius of the Society Site does not have any associates Only available to people aged 18 or over.	£0.00	£25.00
Junior Membership Any person compliant with the objects of the society and who is 14 years of age or over, but does not qualify for any other type of membership Only available to people between the ages of 14 and 17 inclusive.		£25.00
Family Membership A person aged 18 and above, plus Partner over 18, if there is one, and any children under 18 † (Associates)	£15.00	£50.00

Data Protection

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Signature

Date

Please return completed forms to: Malden District Society of Model Engineers, Malden and District Society of Model Engineers Ltd , Willowbank,, Claygate Lane, , Thames Ditton, , Surrey. KT7 0LE

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

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