Membership Renewal
Confirm you intent to Renew Your Membership for 2021
- Membership Renewal
- WE DO NOT WISH TO RENEW
- Request Refund
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.
- Website
- Side Name
- The Magnificent Severn Morris
- Dance Style
- Border, Cotswold, Rapper, Various, Other
- Practice Night
- Thursday
- Practice Postcode
- Caldicot, Monmouthshire
- Region
- West/South West
- 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
- jezbecker932@gmail.com
- 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
- Show Dance
- Yes
- Show Address
- Yes
- Show Contact
- Yes
- Show Phone
- Yes
- Show Email
- Yes
- Show Practice
- Yes
Membership Secretary Info
- Data Checked
- Ref Letters
- MSM
- Membership Type
- No Vote, Dormant
- Edit Link
- Edit
- Record Sheet
- Ref Number
- 322
- No Vote
- Yes
Mail_Groups
- Mail_Group
- XXX
Confirm
- Opt-In to Third Party Emails
- No
- Confirm Entry 2024
ADMIN ONLY
- practice_map
- 159