Membership Contact Form

Name *

First

Last

Address 1 *

Address 2 *

Address 3

Address 4 *

Post Code *

Phone Number

E-mail *

Membership Type *

Please choose
Adult Single (25+) £25.00
Adult Joint (25+) - First Member £40.00
Adult Joint (25+) - Second Member
I also wish to pay the local Branch fee (£3)

Membership selection

Membership Number

Please insert your membership number if you are renewing

Type of Payment *

BACS. Please use your own access to telephone or online banking to credit Sort Code: 20-50-40. Account Number 13942252. Cheques: Please make payable to RSCDS (Cornwall Branch) and send to Ros McLaughlin, Brambles, Tomperrow, Threemillestone, Truro, TR3 6BE. Cash: pay in person to Ros

BACS Reference

This is a reference that you provide via your own online banking

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