Membership Renewal

Confirm you intent to Renew Your Membership for 2021

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
The Magnificent Severn Morris
Dance Style
Border, Cotswold, Rapper, Various, Other
Practice Night
Thursday
Practice Postcode
Caldicot, Monmouthshire
Composition
Mixed
description
photo
Number of Adult Side Members
15
Number of Junior Side Members
6

Contact

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

First Name
Emma
Last Name
Becker
Address
20 Wintour Close
Address Line 2
Town / City
Chepstow
County
Monmouthshire
Country
United Kingdom
Postcode
NP16 5LE
Phone
07733253143
phone2
title
Mr

Alternative Contact

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

alt first name
Emma
alt last name
Becker
alt address
20 Wintour Close
alt address2
alt city
Chepstow
alt county
Monmouthshire
alt country
United Kingdom
alt postcode
NP16 5LE
alt phone
07733253143
alt email
alt phone2
alt title
Emma Becker

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

Membership Type
Team
Record Sheet
Ref Number
322
Data Checked
Ref Letters
MSM
No Vote

Mail_Groups

Mail_Group
Sides 3

Confirm

Opt-In to Third Party Emails
No
Confirm Entry
Yes

ADMIN ONLY

practice_map
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