Norden Farm Centre for the Arts Membership Application

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Title *

First Name *

Last Name *

House Number/Name and Street *

Address second line

Address third line

Town *

Postcode *

Telephone *

Email address *

Date of Birth DD-MM-YYYY *

(apologies, this is a legal requirement)

Categories of support *

Please complete as many boxes as appropriate

I attend performances

I come to classes

I bring my children to classes

I exhibit here

I am a volunteer at Norden Farm

I am a current associate member

I perform here

I regularly hire a space

I am a patron

I am a Norden Farm Angel

None of the above

Other:

Required

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