Membership Renewal

Please complete the following form to renew your Haflinger Society Membership for 2012. Membership runs from 1st January to 31st December. Please note that membership fees include a £1 paypal premium. Please list all family or joint members in the box provided. Once you have submitted your form please click on the proceed to payment link you will then be directed to a secure paypal site where your payment will be processed. You do not need to have a paypal account or have to sign up for a paypal account to use this service. PLEASE NOTE THIS FORM IS FOR EXISITING MEMBERS ONLY.

Title

Mr
Ms
Miss
Mrs

First Name *

Last Name *

House No or Name *

Street *

Town *

County *

Postcode *

Tel No: *

Date Of Birth (junior members only)

Other Members

Membership No (if known)

Please check the box for the type of membership required

I am a UK tax payer and I want the Charity to treat this subscription as a gift aid donation

By checking the following box you are agreeing to the Society's conditions of membership. A copy of which can be found on the website. HERE Membership runs from 1st January to 31st December.

I/We confirm that I/We have read and accepted the conditions of membership

Name(s) *

* indicates required fields

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