FPWR UK Birthday Club
Members of our Birthday Club receive a card and a small present in the post each year for their birthday.
Is this a brand new Birthday Club sign up or an update of the details we hold?
*
Brand new sign up
Update details
Please indicate the details you would like to update:
Club member's name
Club member's address
Club member's date of birth
Parent/Guardian details
Are you signing up a child or an adult for Birthday Club?
Please Select
Child (under 18)
Adult (over 18)
Why do we need to know this? Children under 18 need to have a parent or guardian on file with us.
Where are you located?
Please Select
England
Scotland
Wales
Northern Ireland
Channel Islands
Please note that Birthday Club can only be sent to addresses in the UK. We apologise for any disappointment this may cause.
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New Club Member
Club Member Details
Name (please ensure it is spelled exactly as you want it to appear on the card!)
First Name
Last Name
Address
Address Line 1
Address Line 2
Town or City
County
Postcode
Date of Birth
-
Day
-
Month
Year
Why do we need the year? This helps us work out how old they are for any presents that are different for adults/children.
Parent/Guardian Details
We need these for any details of under 18s that we have stored on our system.
Your name
First Name
Last Name
Please indicate if you are their parent or guardian:
Please Select
Parent
Guardian
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Update Club Member
Current details
Please fill in the details you believe we currently have, so that we can find you in our database
Current name
First Name
Last Name
Current address
Address Line 1
Address Line 2
Town or City
County
Postcode
Current DOB
-
Day
-
Month
Year
Date
Current parent/guardian name
First Name
Last Name
Indicate if parent or guardian
Please Select
Parent
Guardian
New Details
Please fill in the new details you would like us to use from now on
Updated name
First Name
Last Name
Updated address
Address Line 1
Address Line 2
Town or City
County
Postcode
Updated DOB
-
Day
-
Month
Year
Date
Updated parent/guardian name
First Name
Last Name
Indicate if you are parent or guardian:
Please Select
Parent
Guardian
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Confirmation
Is there any other information you think we need to know about this member?
Tick to agree:
*
I understand that FPWR UK will use these details as I have given them to send out a Birthday Club parcel to the member named here.
I will use this form to update FPWR UK as soon as possible if any of these details change.
Signature:
*
Submit
Should be Empty: