Membership Renewal

Confirm you intent to Renew Your Membership for 2021

Membership Renewal
CONFIRM RENEWAL
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.

Side Name
Rhubarb Tarts Molly Dancers
Dance Style
Molly
Practice Night
Sunday Morning
Practice Postcode
Horbury, Wakefield
Composition
Mixed
description
photo
Number of Adult Side Members
20
Number of Junior Side Members

Contact

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

First Name
Liz
Last Name
Harwood
Address
108 Coxley View
Address Line 2
Netherton
Town / City
Wakefield
County
Country
Postcode
WF4 4LY
Phone
07484745165
phone2
title
Squire

Alternative Contact

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

alt first name
Anne
alt last name
Hudson
alt address
alt address2
alt city
alt county
alt country
alt postcode
alt phone
alt email
anne AT anneandmalc.plus.com
alt phone2
alt title
Deputy Squire

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
RHU201.pdf
Ref Number
201
Data Checked
Ref Letters
RHU
No Vote

Mail_Groups

Mail_Group
Sides 2

Confirm

Confirm Entry
Yes
Opt-In to Third Party Emails
No

ADMIN ONLY

practice_map
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