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Membership > Application


Fields marked with * must be entered.

Date:
First Name*:
Surname*:
Email*:
Address*:
Postcode*:
Phone:
Mobile:
Fee Payable*: Standard (5) Concession (3)
Please write down any local issues
that worry you at the moment
(e.g. heavy lorries):
What things would you like to see
DHRA do to improve our community?
(e.g. types of event):

Please let us know any sort of help you would like to offer by clicking the boxes below.
Delivering Leaflets
Organising Events
Website Design
Collecting Subscriptions
Refreshments at Events
Committee Member
Other:
(Please Describe)