Elgar Society Membership On-Line Application

Title : Mr Mrs Miss Ms Not Applicable
Other :
Name :
Address :
Town :
County/State :
Country :
Post Code/Zip Code :
Telephone number :
Fax number :
e-mail address :
Name of second member
(Joint membership only (1)) :
I hope to attend meetings of the following branch(es) of the Society (2) :
Southern Thames Valley London
Great Western West Midlands North West
Scottish
(Those joining the Society from 1st July pay half the full annual subscription, providing membership through to the end of the calender year. Note that the subscription rates below include this discount.)
Please deduct the following amount from my credit card :
Single Membership
Full Members : Student Members :
£15.00 (UK & Europe) £7.50 (UK & Europe)
£16.00 (Worldwide) £8.00 (Worldwide)
Joint Membership (1)
Full Members : Student Members :
£17.50 (UK & Europe) £8.75 (UK & Europe)
£18.50 (Worldwide) £9.25 (Worldwide)
I wish to pay by : Mastercard Visa
Card number (3) :
Card security number :
Expiry date :
Name on card :
Address for card :
(if different from above)

Notes :

(1) - Joint membership provides membership for two people living at the same address and sharing a copy of the journal.

(2) - Members of the Society may attend meetings of any branch of the Society without charge, whether or not they are members of that branch. All branch programmes appear on the website. UK members who specifically wish to receive details of branch meetings and any other branch activities through the post may select a maximum of two branches from the list above. Overseas members are automatically assigned to the Overseas "branch" as their first choice and their names forwarded to Paul Adrian Rooke (one of the International Co-ordinators).

(3) - The Society considers that it is safer to send credit card details by e-mail than it is, for example, to pass them in a telephone call. But the decision must be yours. If you are concerned, either enter "To follow" in the card number box above and send your card number to us in a separate e-mail, or print out and complete the membership postal application form.


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