Joint 12 Month (August to end of July) Membership

Joint 12 Month (August to end of July) Membership

Joint membership is £21.00. ALL form fields must have an entry even if it’s N/A.
Title
Full Name

First Name Last Name
Spouse / Partner's Name (if joint membership)

Address

Phone Number

Area Code Phone Number
Email
example@example.com
FAR EAST SECTION
What Relation Was The Far East Prisoner To You?
E.g. Grandad
His / Her Name
His / Her Regiment *
Details Of Captivity In Far East *
Did He / She Die In The Far East - If So Where?
If Yes - Where Buried?
Date Of Death
Or Is He / She Still Alive?
Was He / She An Evacuee From Singapore, Java, etc.?
Name Of Evacuee Ship (If Known)
RECORDS / NEWSLETTER
COFEPOW publishes lists of its membership which are sent only to other members. If you object to your details being included on the membership list please check the circle on the right

I object
COFEPOW sends out a newsletter 4 times a year. To help save on postage please check the box on the left to receive the newsletter via e-mail

Email newsletter
Joint 12 Month (August to end of July) Membership

Joint 12 Month Membership £ 21.00 GBP

Total £ 0.00 GBP
Should be Empty:

FAR EAST SECTION