Membership Application

Organisation Details

Name of Group (required)

Type of Group (required)
AdultYouthBoth

Number of members (required)

Main Contact Details

These details will be used for correspondence from FECA.

Name (required)

Position (required)

Address (required)

Email (required)

Phone (required)

Mobile

Second Contact Details

These details will be used for correspondence from FECA.

Name

Position

Email

Phone

Mobile

Public Contact

FECA posts a list of member groups on its website. The public contact details are those that appear on the website.

If your public contact is the same as either the main or second contact, you can indicate so below. Otherwise, please fill in the remaining fields.
Main ContactSecond Contact

Public Contact Name
Note, this does not have to be an individual. You can also use something like "Office" or "Reception" if the identity of the public contact is likely to change.

Public Contact Email

Public Contact Phone

Fen Edge News Contact

This individual will be contacted by the Fen Edge News editor to provide articles about your group.

If your Fen Edge News contact is the same as either the main or second contact, you can indicate so below. Otherwise, please fill in the remaining fields.
Main ContactSecond Contact

Name

Position

Email

Phone

Mobile

Payment

How will you be paying? ChequeBACSCash

If paying by BACS, please make payment to:
Account name: Fen Edge Community Association
Sort Code: 20-17-22 Account Number: 40349178

Signed (enter your name here):
Date:

When you hit "Send" this information will be sent to FECA, and a copy will be sent to the main contact email.

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