Membership Application/Renewal 2013 Single Membership..............................................................£27 Joint/Family Membership....................................................£38 Student Membership (with proof of student status)...........£17 Note - there is a late payement fee from after 1 Feb of £2
Name ………………………………........................................................ Address ……………………………….................................................... ………………………………................................................................... ………………………………................................................................... Postcode ………………………….Tel : ……………………………… E-mail ………………………………....................................................... Website..……………………………....................................................... Type of Membership ……………………..Sum enclosed ……………..
Please make cheques payable to North Wales Potters and send with this form to Mary Matthews, Ty Drysau Derw, Ymwlch Fawr, Criccieth, LL52 0PW. We are often asked for information about North Wales Potters and their work by organisations, galleries or individuals. If you wish this information to be given to enquirers, and to take part in exhibitions/events etc, then good quality slides will be requested, possibly with a little history and biographical information. It is a good idea to prepare these in readiness. I would like information to be given to enquirers. YES / NO I would like my details included on NWP website. YES / NO I agree to receive information via e-mail (saving paper, postage etc). YES / NO I agree to share my contact details with other NWP members. YES / NO Data Protection Act. North Wales Potters are required under the Data Protection Act to inform you that the details on this form will be kept on our computer. Before we can do this we require your permission. Please sign below.
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