Signup Form

Abergavenny Art Group - Membership 2021-22

To apply for membership please complete all questions and press APPLY button at the bottom of this form.
By submitting this form you give consent for Abergavenny Art Group to retain data on you as a Member.
Name

First NameSurname
Address

Street Address

Street Address Line 2

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

Area CodePhone Number
Mobile Number

Area CodePhone Number
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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 £30
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