Membership Form

Name(s) :
 
Badge name(s) (if not as above) :
 
Address :
 
City/Town :
County :
Postcode :
 
email (Optional but helpful if we need to contact you) :
 
aXXIdental would like to provide PRs in electronic format where possible and convenient.
Would you prefer to receive : PR by post : PR by email (above) : Link to PR in email
(tick as required) : ___ : ___ : ___
 
Willing for badge name to appear on the web list of members : Yes / No
 
Membership type : Full Attending (£32) : Concessionary (£16) : Small Child (£1)
(please enter number required) : _____ : _____ : _____
 
Signed :
 
Date :

Notes:

  1. Cheques in pounds (GBP) should be made out to aXXIdental.
  2. Contact us if you wish to make an electronic transfer.
  3. All registration data will be kept electronically and will only be shared with other British Filk Conventions.

Please send completed applications to:

Axxidental,
c/o 15, St. Catherine's Cross,
Bletchingley,
Surrey, RH1 4PX
U.K.