Women's Institute Members Registration Form
Name
*
First Name
Last Name
Address
*
House Name/Number
Postcode
Date of Birth
*
-
Day
-
Month
Year
Email
*
example@example.com
Mobile Number
*
Which WI are you a member of?
*
What is your membership number?
*
When does your membership expire?
*
-
Day
-
Month
Year
Please upload a copy of your WI membership card (if applicable):
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How can we tell you about our latest, events, news and offers? (please tick how you would like us to contact you)
*
By Email
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By Post
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