Membership Renewal/Application - SHPA
2021-22 financial year Membership (Fees are on an Annual basis and become due on 1 July)
NB: Minutes and newsletters and most other communications will be distributed by email.
I wish to renew/join SHPA on the basis of:
Individual/Person 1 details - First Name and Surname:
Person 1 email address:
Person 1 postal address, including Postcode:
Person 1 Phone (Mobile and/or Home):
Do you have any special interests regarding joining SHPA?
Are you a past member of SHPA or WERA?
Clear selection
For Family Membership - details of additional person(s) covered by this membership:
Person 2 details - First Name and Surname:
Person 2 email address:
Person 2 Phone (Mobile and/or Home):
Person 3 details - First Name and Surname:
Person 3 email address:
Person 3 Phone (Mobile and/or Home):
Payment
Are you paying by
Clear selection
Cheques may be presented at a SHPA meeting or posted to Surrey Hills Progress Association, C/- 157 Union Rd, Surrey Hills 3127
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