Membership Renewal

Confirm you intent to Renew Your Membership for 2021

Request Refund
Membership Renewal
WE DO NOT WISH TO RENEW

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
Platypus Appalachian
Dance Style
Appalachian
Practice Night
Wednesday
Practice Postcode
CO2 8BE
Composition
Female
description
photo
Number of Adult Side Members
4
Number of Junior Side Members
0

Contact

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

First Name
Rosie
Last Name
Forth
Address
18 Cromwell Road
Address Line 2
Colchester
Town / City
County
Country
Postcode
CO2 7EN
Phone
01206 545805
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
PLA191.pdf
Ref Number
191
Data Checked
Ref Letters
PLA
Membership Type
Disbanded
No Vote

Mail_Groups

Mail_Group
XXX

Confirm

Opt-In to Third Party Emails
No
Confirm Entry
Yes

ADMIN ONLY

practice_map
66