Application Form
If you would like to join WEGA, fill in the form below, highlight it, copy and paste it into your e-mail application and send it here. Once we have got your name our Treasurer will be in touch in order to get the bargain fee of £15. (Students £2.00)
If you are renewing, then renewals are due by 1st October each year,
you can,
- bring cheques to the first lecture.
- print off the Standing order form(Standing Order Form), send to your bank and inform the Treasurer
- print the form below, fill it out and send with a cheque(payable to WEGA) to the Treasurer
Treasurers Address
J Hible
13 Brook Drive
Corsham, SN13 9AU
In the form below, the telephone number for a contact is for someone in the vicinity of Bristol we can contact in the event of an accident. A spouse, a relative, a friend, a neighbour?
It is perfectly possible to say yes to both the lift questions. We try to encourage and facilitate car sharing.
Alternatively print out the form and take it along to any of our meetings, where we will be very pleased to see you.
| WEGA Membership |
|
I wish to become a full/student* member of the West of England Geologists' Association and I understand that my name, address, email and telephone number will be held on computer for the Group's use only and will not be made available to a third party.
This is a renewal/new* application.
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| Field |
Fill in as appropriate |
| Name |
|
| Address 1 |
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| Address 2 |
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| Post Code |
|
| Home Telephone No. |
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| Mobile Telephone No. |
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| Email |
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| Emergency Contact Name |
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| Emergency Contact No. |
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| (Indicate which email address and phone no. you prefer to use) |
| Willing to give lift? |
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| Require a lift? |
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| (It is possible to answer yes to both 'lift' statements as we encourage and facillitate car sharing.) |
| Signed |
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| Date |
|
* Delete as appropriate