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 (£29) : Concessionary (£15) : Small Child (£1)
(please enter number required) : _____ : _____ : _____
 
Signed :
 
Date :

Notes:

  1. Cheques in pounds (GBP) should be made out to aXXIdental.
  2. All registration data will be kept electronically and will only be shared with other British Filk Conventions.