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The Punch and Judy Fellowship

Application for Membership Renewal - Overseas Family

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Title

Surname

First Name

Letters after your name

Please enter your date of birth

What must I enter?

Complete boxes with with white backgrounds for all members and boxes with green backgrounds where the data has changed.  Go to the part marked Required at the bottom to agree the constitution and to show you are a person.

NB:  Required  is not a link.

Stage Name

Address 1

Address 2

Address 3

Country

Postcode

Landline

Email

I am a performer and use a Swazzle in my show.  I would like my show assessed for Full Membership

Mobile

Website

Details of Second Member

Title

Surname

First Name

Letters after your name

Please enter your date of birth

Day

Month

Year

Stage Name

Mobile Telephone

Email

I am a performer and use a swazzle in my show  I would like my show assessed for Full Membership

Website

Details of first under 18

Title

Surname

First Name

Please enter your date of birth

Day

Month

Year

Stage Name

Mobile

Email

I am a performer and use a swazzle in my show.   I would like my show assessed for Full Membership

Website

Details of second under 18

Title

Surname

First Name

Please enter your date of birth

Day

Month

Year

Stage Name

Mobile

Email

I am a performer and use a swazzle in my show.  I would like my show assessed for Full Membership

Website

Details of third under 18

Title

Surname

First Name

Please enter your date of birth

Day

Month

Year

Stage Name

Mobile

Email

Website

I am a performer and use a swazzle in my show.  I would like my show assessed for Full Membership

We have a continuing interest in Punch and Judy and wish to renew our membership of the Punch and Judy Fellowship.  We agree to be bound by the constitution of the Punch and Judy Fellowship

(Required)

Please Untick this box to show you are a person

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If you do not complete payment, the data sent as a result of completing this form will be destroyed.

Day

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Year