Merched y Cae Ras
New Member Request Form
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Country/State/County/Region (Please specify)
Membership Fee
Adult (10£)
Under\ 16/OAP £5
Please send your membership fee to: Account Name: Merched Y Cae Ras SortCode: 30-99-50 Account Number: 87592168 Or PayPal - @merchedyceaeras When making your payment please include your surname and the last 4 digits of your contact number
Please check to confirm you have read and understood the: MYCR Constitution MYCR GDPR Policy
MYCR Constitution
MYCR GDPR Policy
I Confirm that I will send the appropriate membership within 3 days of submitting this form. Please type your name in full to confirm your signature.
Date
For office Use ONLY
Membership Form Receivied
Appropriate Membership Fee Received.
MYCR Membership #
Submit
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