Membership Form

Club Membership Registration

Complete the form below to sign up for our membership. If you are just renewing your membership please do not complete this form but contact us via email info@leathermencymru.com letting us know your membership number.
Please ensure you cick the submit button at the bottom of the appliaction form.
* Required Information
First Name*
Surname Name*
E-mail*
Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
State/Prov/Region
Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Country CodePhone Number
Birth Date:*

DayMonthYear
Cymraeg
Are you a Welsh speaker?
Where did you hear about us?*

A Friend or PartnerClub WebsiteFacebook/Twiter PostClub Advert/PosterClub EventPride Event
Area I live in?*

CardiffNewportSwanseaWest WalesMid WalesNorth WalesRest of the UKOutside UK
Membership
Membership is available to anyone 18 years of age or older.
Please select box to confirm*

I am 18 years of age or older.
Please add a ID Photo*

Browse Files

Cancelof
Membership Fee
Membership fee is £15 per year. (subject to change)
Payment Method*
Don't forget to click submit below after you have made your payment
Bank Transfer

If you would like to pay by bank transfer please send payment to the Club bank account.

Bank Account Details

Sort Code: 40 - 16 - 15

Account Number: 14091000

IBAN: GB82MIDL40161514091000

BIC: MIDLGB2103K
Only complete My Products below if paying via Credit/Debit Card or Apple/Google Pay

My Products

Membership£15.00

This is for membership to LeatherMen Cymru

Credit Card

Enter the message as it's shown*
By completing this form you agree to LeatherMen Cymru holding your personal data on file. LeatherMen Cymru does not sell data with third parties.
Once you submit your application and we have received your payment, we will contact you shortly to confirm your membership application.

Thank you!
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Club Membership Registration

Membership

Membership Fee

Credit Card