Title:____________ Initials:______________ Surname:____________________ Forename(s):___________________________ Address:_______________________________________________________________________ ______________________________________________________________________________ Post Code:__________________________ Country:____________________________________ Telephone Number:________________________________ Email:______________________________ URL:____________________________________ Date of Birth (if under 18):____________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ An INITIAL MEMBERSHIP FEE of £3 is included in the initial individual membership fee shown below but not in later years' subscriptions. UK Europe & Overseas Surface Mail Overseas Airmail My payment is by cheque or postal order for annual fee(s) = £____________ (cheques
to be made payable to The Quilling Guild - PLEASE NOTE that all payments must be in pounds sterling)
My payment is to be by credit card.
Card Number : _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiry Date: ____/____/____
Security Code (last 3 digits on back of card) _______
Payment amount £_________________
Signature ______________________
Beth Henderson, Email:
Membership Secretary
Please print out the form, complete it and send with your
cheque, PO or credit card details to the address below.
Your membership details will be held on computer in accordance with
the Data Protection Act 1984, revised 1998. Details are not disclosed
to third parties. If you object to your name and address being printed in
the Directory of Members, please tick here ____
Please supply the names and ages of any additional (Associate)
members:
Where did you hear of The Quilling Guild?____________________
Do you demonstrate or teach quilling?_________________________ How long have you been quilling?_____________________
Individual Membership: £21
Associate (For each additional member living at the same address): £1
Junior (under 18): £5
Individual Membership: £24
Associate (For each additional member living at the same address): £1
Junior (under 18): £7
Individual Membership: £27
Associate (For each additional member living at the same address): £1
Junior (under 18): £9
Credit card type:- Visa / Mastercard / American Express (please delete as necessary)
Membership Secretary,
The Quilling Guild,
68, Dukes Mead,
Fleet,
Hants,
GU51 4HE,
UK
