Fspg Membership Application/Current Member Renewal Form

FSPG MEMBERSHIP APPLICATION/CURRENT MEMBER RENEWAL FORM

*If your registered postal address differs from other details please include all different addresses and names for auditing purposes. Please tick the new member box if this is your first FSPG application.

TITLE / SURNAME / FORENAME / ADDRESS* / NEW MEMBER / MEMBER NUMBER / D.O.B / EMAIL / CONTACT NUMBER / MOBILE NUMBER / SIGNATURE

Are you willing for your address and telephone number to be published in the Members Directory YES/NO

Do you require a hard copy of the Members Directory YES/NO Are you willing to receive OtR by email or download from the Group Website YES/NO

I/We confirm that I/We will abide by the Constitution and Code of Practice as published in the members Handbook at all times. I/We further confirm that I/We shall not hold responsible the Officers, Committee and Members, individually or collectively, in the event of any accident, loss of life or property or and damage arising from participation in any Group activity.

This form MUST be signed by all applicants unless under the age of 16, in which case they MUST be signed for by a parent or guardian.

Chq Payable: FSPG

Subscriptions, Single £32, Joint £34, Family £34, Pensioner (over 65) £25, Junior £22Total Subs Enclosed £______Acc No: 09714005

Please can ALL applicants/members complete the Appliance Register Information overleaf, so we can audit our records. Sort Code: 09 01 55

APPLIANCE REGISTER INFORMATION

MOTOR APPLIANCES

YEAR / REGISTRATION NUMBER / MAKE AND MODEL DETAILS / TYPE OF VEHICLE / ORIGINAL BRIGADE / PRESENT CONDITION

MANUALS, STEAMERS, TRAILER PUMPS ETC

YEAR / TYPE / MAKE AND MODEL DETAILS / ORIGINAL BRIGADE / PRESENT CONDITION

COLLECTIONS/MODELS ETC

BADGES / BOOKS / HELMETS / MEMORABILIA / MODELS / PHOTOGRAPHS

If you have more appliances than there are boxes, please use a separate sheet of paper.

All members’ details, as shown on this form, will be kept on a computer and will only be available to authorised Group Officers

The FSPG subscription year runs from 1st April through to 31st March.

Please return completed form and payment to: Ellen Harris, Membership Secretary, 37 Lismore Park, Slough, Berks, SL2 5DE