Membership Renewal

Confirm you intent to Renew Your Membership for 2021

Request Refund
REQUEST REFUND
Membership Renewal
CONFIRM RENEWAL

Open Morris Members

Please Note: Some Fields are NOT Editable. Should you need to change the data in these fields please contact The Membership Secretary.

Side Name
Dance Style
Practice Night
Practice Postcode
Composition
description
photo
Number of Adult Side Members
0
Number of Junior Side Members
0

Contact

These are your Primary Contact Details. Name, Address, Telephone and Email Fields MUST be Completed

First Name
Sara
Last Name
Rose
Address
27 St Mary’s Court
Address Line 2
Duke Street
Town / City
Derby
County
Derbyshire
Country
UK
Postcode
DE1 3DD
Phone
07803 137354
phone2
title

Alternative Contact

Please provide contact details of a second person in case we are unable to communicate with the person above

alt first name
alt last name
alt address
alt address2
alt city
alt county
alt country
alt postcode
alt phone
alt email
alt phone2
alt title

Show Membership Information on Website

Please use these fields to indicate which items of information can be shown on our public website. YES Indicates the Information CAN be Shown, NO indicates that it CANNOT be Shown

Membership Secretary Info

Record Sheet
SM910.pdf
Ref Number
910
Data Checked
Ref Letters
SM
Membership Type
Individual
No Vote

Mail_Groups

Mail_Group
Individual

Confirm

Opt-In to Third Party Emails
No
Confirm Entry
Yes

ADMIN ONLY

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