MNA Membership Renewal Form

Please enter required information as shown on the Form

When you have completed this Application form select the SUBMIT button.

Once your payment has been received, you will get a confirmation from the

National Membership Secretary

Annual memberships commence on 1st January each year and membership fees are requested to be paid in order to receive the MNA benefits and information, including the ‘Full Ahead’ magazine.

Current Membership Type *

Name *

Title Forename Surname

Membership Number *

Please Confirm Full Address - (include PostCode & Country etc) *

Please Confirm Contact Phone Number(s) *

Please Confirm Email *

example@example.com

Please Confirm Next of Kin (optional)

Name Relationship Contact Number

I agree to The MNA using my email for membership communications including Newsletters etc for the duration of my membership (we do not share your email with 3rd parties) *

Yes No

The MNA’s Data Protection Policy can be found on the MNA website and is aligned with the principles detailed in the General Data Protection Regulations/Data Protection Bill 2019.

Signature *

Clear

Date *

Date

Membership Fees

UK Applicants

Annual Membership Fee £12

Overseas Applicants

Annual Membership Fee £18

When selecting payment method below, please read drop down NOTE that appears

Donation (optional) Thank You £

Total Amount Being Paid £ Thank You *

Select one box to pay *

Debit/Credit Card Cheque by Post BACS/Online PayPal

Thank you for choosing to pay by Debit/Credit Card.

The National Membership Secretary will accept payment by this method over the phone:
Mobile: 07738 425875

When completed, don't forget to submit this Renewal Form by clicking on the SUBMIT button at the bottom of this Form.

Thank You

Thank you for choosing to pay by Cheque.

Please make the cheque out for the required amount, payable to THE MERCHANT NAVY ASSOCIATION and forward to the:

National Membership Secretary,
3 The Maples, Fleet Hargate, Spalding, Lincs. PE12 8NT

When completed, don't forget to submit this Renewal Form by clicking on the SUBMIT button at the bottom of this Form.

Once your payment has been received, you will get a confirmation from the National Membership Secretary.

Thank you

Thank you for choosing to pay by BACS

...... online direct from your account. Please pay £12 (Renewal UK Membership) or £18 (Renewal Overseas Membership) to National Merchant Navy Association at National Westminster Bank, Sort Code 51-81-34, Account number 28707680 - quoting your name as reference.
When completed, don't forget to submit this Renewal Form by clicking on the SUBMIT button at the bottom of this Form.

Once your payment has been received, you will get a confirmation from the National Membership Secretary.

Thank you.

Thank you for choosing to pay by PayPal.

When completed, don't forget to submit this Renewal Form by clicking on the SUBMIT button at the bottom of this Form.

On the Thank You page, click on the relevant PayPal link, which will take you to the payment page on the MNA website.

** IMPORTANT - PLEASE NOTE **

DONATIONS NEED TO BE ENTERED SEPARATELY ON THE PAYPAL PAGE

Once your payment has been received, you will get a confirmation from the National Membership Secretary.

Thank you.

Full details on Membership can be obtained from the MNA website
and the National Membership Secretary:
3 The Maples, Fleet Hargate, Spalding, Lincs. PE12 8NT
Mobile:07738 425875 EMail: membership@mna.org.uk