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
Rossendale Clog Heritage
Dance Style
Step Clog
Practice Night
Thursday
Practice Postcode
BB4 7LG
Composition
Mixed
description
photo
Number of Adult Side Members
Number of Junior Side Members

Contact

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

First Name
Margaret
Last Name
Hargreaves
Address
7 Kenilworth Close
Address Line 2
Padiham
Town / City
Burnley
County
Country
Postcode
BB12 8SG
Phone
01282 773103
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

Membership Type
Team
Record Sheet
ROS205.pdf
Ref Number
205
Data Checked
Ref Letters
ROS
No Vote

Mail_Groups

Mail_Group
Sides 2

Confirm

Confirm Entry
No
Opt-In to Third Party Emails
No

ADMIN ONLY

practice_map
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