Alpine Garden Society



01386 554790

Student/Junior Membership - £15.00

Membership for Student or a Junior (under 18 years)

All information is protected by the Data Protection Act.
The Society occasionally produces a full list of Members;
please tick this box here if you do NOT wish your name and address to be included.

Where did you hear about us? Please select from the drop-down list.

Any further information. eg offer code from magazine, flower show, etc:
  

Personal Details
Title (Mr/Mrs/etc):   Initials:
Forename:   Surname:
Email:

All dates UK style - day/month/year
Junior Membership - Date of Birth (if under 18):

Student Membership - Date of End of Course:


Membership Address:
line 1:
line 2:
line 3:
Post Town:
Post/Zip Code:
Home Telephone:

Country:

Organisation name if appropriate (eg Library, Botanical Garden, etc):