New Member Application
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Email *
Name *
Date of Birth *
MM
/
DD
/
YYYY
Occupation *
Main Phone Number *
This would be the phone number that is best to contact you on, I.E. your Mobile Phone Number
Secondary Phone number
Current Address *
Town *
County *
This helps us to assign your application to the nearest Membership Secretary, if you are living outside of Wales this does not stop you from applying to join us, we would just need to speak to you to find what area is best for you to be listed under. If you live outside of Wales please select 'Other'
Post Code *
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