125 Membership renewal form.

Title:

First Name:

Surname:

Address Line 1:

Address Line 2:

Town/City:

Post Code:

E-Mail:




Membership Number:




Please enter whole pounds only:

One year membership:

Donation:

Total:



Terms and Conditions I agree to abide by the rules laid down in the Group's Constitution.
In accordance with the Data Protection Act I understand that the 125 Group will retain my details on file for the sole purpose of addressing its envelopes and that my details will not be passed on to any other organisation without my express permission.


Please note that once you have paid for your membership renewal via PayPal you will not receive any paperwork confirmation. Please do not contact us unless you do not receive the next magazine you are due.