Membership Application Form
To apply for membership of The Old Derbeian Society please complete this form which will be sent to the secretary for processing and approval.
Your Full Name
Years at School
Contact Telephone Number
I agree to allow my details to be shared with other members of the society subject to General Data Protection Rules
I agree to be contacted by the society through newsletters and mailshots as and when they are sent out to members.
I agree not to share members details with anyone outside of the society unless specifically allowed by the member.
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