Signup Form

Abergavenny Art Group - Membership 2020-21

To apply for membership please complete all questions.
By submitting this form you give consent for Abergavenny Art Group to retain data on you as a Member.
Name

First Name Surname
Address

Street Address

Street Address Line 2

Town County

Post Code
E-mail
example@example.co.uk
Home Tel No

Area Code Phone Number
Mobile Number

Area Code Phone Number
Contact me only by

Letter Email Telephone Mobile and text
Membership Fees: Payment method and amount

by cheque (payable to Abergavenny Art Group and send to J Hurst, 14 Fosterville Cres Abergavenny NP7 5HG) by online banking (Sort code: 77-62-13 Account: 02661268 Name: Abergavenny Art Group. Use your Surname and Initial as a reference) fee of £20 donation of £10
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