BALLRACHD CHULTARLANN INBHIR NIS
MEMBERSHIP OF CULTARLANN INBHIR NIS
FOIRM BALLRACHD/MEMBERSHIP FORM
Friends of Cultarlann (Associate Membership)
Ainm / Name
Street Address Line 2
State / Province
Postal / Zip Code
TERMS OF THE MEMBERSHIP
I am aged 16 or over
I support the purposes of Cultarlann Inbhir Nis
I undertake to pay the membership fee/donation
I undertake to pay £1 if the company should wind up
I consent to my personal details being kept by the Company and understand that they will not pass them to any third party unless it seeks my specific permission or is required to provide details of membership under the Companies Act 2006.
Check the box below if you understand the above terms and give permission to Cultarlann Inbhir Nis to hold this information.
Yes, I consent to the above.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform