Application for annual membership
By becoming a member, you will be supporting the regeneration of the Cefn Fforest Miners Institute, and the charity formed to carry out this work. You will also have a say in the future of the institute, it’s provision for the community and how it is run.
Full Name
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First Name
Last Name
Date of Birth
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Format: (000) 000-0000.
Email Address
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example@example.com
By signing below, you agree to the £10 membership fee and to the terms and conditions of membership detailed on the back of this form.
Add an additional donation towards the upkeep of the institute
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