RaPAL Membership Form

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Title *

Name *

Email Address *

Please tick if you do NOT wish your email to be used in the RaPAL network

I do not wish for my email to be used in the RaPAL network

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Landline *

Mobile

Address *

Please enter your full Address

Postcode *

Region

Special Interests

Reason for Joining

How did you hear about us?

I agree to RaPAL holding and processing the data I am providing in order to administrate my membership and the organisation, email me access to the digital journal, monthly newsletter and the JISClist discussion forum. RaPAL does not give access to members' personal data to other parties. *

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Required

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