The Another Fine Mess Tent of Northern Ireland         

 

Web Application Form — Another Fine Mess Tent of NI 

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Once completed this form should be printed and sent with remittance (cheques should be made payable to "Keith Davidson (Another Fine Mess Tent A/C)") to one of the addresses on our Membership page — one form for each applicant please.  Thank you.

Please provide the following contact information:

Name
Title
Organisation (if applic)
Street Address
Address (cont.)
Town/City
County/State/Province
Postal /Zip Code
Country
Work Phone
Home Phone
Mobile phone
E-mail address
Website (if applic)

Birthday (adult); Date of Birth (child):

Day & Month of Birthday
Date of Birth (if child) --dd/mm/yy
Sex Male Female

What Type of Membership Do You Require:

Family membership (£30.00 — 2 Adults + 2 Children)
Adult (18+) (£10.00)
Child (under 18) (£8.00)
International (outside British Isles) (£15.00 first year, £12.00 thereafter)

For pro-rata rates visit our Membership page

If Family Membership how many children? (More than 2 £7.00 each per annum extra)

           

Date of Application:

-- dd/mm/yy

Comments, if any (e.g. special provisions required for access to buildings etc.):


 

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Another Fine Mess Tent of Northern Ireland.
Copyright © 2006 [Another Fine Mess Tent of Northern Ireland]. All rights reserved.
Revised: 04-02-08