Membership Application Form
Hemel Hempstead Photographic Society
Membership Application Form – Season 2019-20
Please complete this form using CAPITAL letters and ensure legibility
Surname ___________________ Forename ____________________
Address ________________________________
________________________________
________________________________
Postcode ___________________
Telephone Home: _______________________ Mobile: __________________________
Email: _____________________________
Date of Birth (U-18’s) Day______ Month______ Year_______
Data Protection:
We need your permission to contact you from time to time by Email and /or Telephone.
The Society will not pass on or distribute any information we hold on you without your express permission, unless required by relevant authorities. There will be limited circulation of your data within the Society, as necessary, for operational reasons.
The Society undertakes to safeguard all personal data held on members within reasonable practical limits.
Membership Fees:
Annual Membership Fee: £40.00 Circle payment & method below
Seniors (over 65 years) £37.00 Cash Cheque
Under 18 years Free Bank Standing Order
Weekly Attendance Levy £3.00 per session
Under 18 years £1.00 per session
Where did you hear about the Society …..Member,…Sainsburys,…Library,….Paper….
Other. (please state)
I wish to apply for membership of the Society and accept the data protection provisions.
Signed _________________________________
Date___________________________________