CFONHS Membership Form

Membership Form Conservative Party & Conservative friends of NHS

Midland
Your details

Please fill and return this form even if you would not like to pay.
Title *
Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City

Postal / Zip Code
Date of Birth *

Day Month Year
Date
*We collect every member's date of birth for checking eligibility.
Email *
example@example.com
* This email address will be used to send your membership confirmation & Party activites.
Phone Number *
Please enter a valid phone number.
*

Tick if you want to be a member of Conservative friends of NHS. Would you like be involved in politics as Councillor/MP. Would you like to attend meetings/dinners
Are you member of Conservative party already? *

Yes No
Your Membership Number if you are a member already. *
Your place of work *
Your work status *
Fee (Optional)

Membership CFONHS Free

Fee Conservative Party Membership

£25.00 Yearly

£2.09 Monthly
Your Account name blanks Your Bank’s name blank
Sort Code
Account No
Signature

Clear
Data Collection and Use policy
Should be Empty:

Membership Form Conservative Party & Conservative friends of NHS