ARTS - Association of Reunited Thames Staff

MEMBERSHIP APPLICATION FORM

(* = required field, but please complete all relevant fields)

* Surname:

Other:

* Forename(s):

Known as:

Address: Number/Name, Road):

Town/City:

County/State :

Postcode/ZIP:

Country :

Tel:

Mobile:

* Your email address:

Partner's name:

Department(s) in which you worked:

Your main work base:

.. or other base:

You will automatically receive ARTS Quarterly containing information on all the events being organised, and booking forms will be included where possible. On occasions we may need to send out individual booking forms. If you would like to receive any of these, please tick the relevant box:
Theatre & concerts Lunches & dinners Day trips Holidays

It is ARTS policy to list the names, department and base of new members on the ARTS web site. If you DO NOT wish to be included, please indicate:
Show on web Do NOT show on web

Annual Membership fee to **31 March** 2012 is £17.50. For applications made after **1 October** 2011 the fee is reduced to **£8.75**.
Please select you payment method
	I will send a cheque for £17.50 (£8.75 after 1 October) payable to ARTS, to:	OR		I will arrange a Bank Transfer within the next 15 days, to: Please include reference 'Membership' plus your name.

Please type the code above in the box below:

Can't read the image? click here to refresh

Thank you!

Data Protection Act: The details you supply on this form will be stored on a computer and used for administrative purposes only.