Please print out this form, fill in the details required and
send it, together with a cheque or postal order made payable to
Midlands Potters Association, to our Membership
Secretary:-
Helen Willis. 44 Hollyhurst Road, Sutton Coldfield.
West Midlands, B73 6SY. Tel:0121
605
4947 email: emailmpa@yahoo.co.uk
........ Full Membership: £ 20.00 UK per year
........ Workshop Membership: £30.00 UK per year. (Workshop membership is for a group of individuals who regularly work together. This category of membership allows up to four named members of the group to exhibit at MPA shows and allows two named members to vote at the AGM. Please list these below.)
Exhibiting Rights
1............................................................................... 2...................................................................................
3............................................................................... 4...................................................................................
Voting Rights
1............................................................................... 2...................................................................................
......Concession:-
Full time students, unwaged and Senior Citizens £10.00 UK
per year
.
Name(s)................................................................................................................
Address.............................................................................................................
..........................................................................................................................
..........................................................................................................................
Postcode..............................................
Telephone
No....................................................................................................
The membership year starts on October 1st. The information you provide will be held on a computer database for use by the MPA only.
If you do not wish your details to be shared with the membership
please tick the box ( )
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