Membership Application Form-GlamorganSmalls

First name/s

Last name/s

Business/Family name

Please indicate which membership you are applying for

Individual membership £12

Joint/Family Membership £20

Junior Member £0

Business Member £25

Email

Mobile Number

What are you interested in?

If Other, please tell us:

I have read and will adhere to the constitution on the website

Fees can be made by bank transfer, please consider setting up a standing order. Bank transfers should be made to the following account, quoting you surname and postcode as the reference:

Glamorgan Smallholders

Sort Code: 30-92-93

Account Number: 68986468

I have sent the payment