Epsom and Ewell Art Group

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Application for Membership of Epsom and Ewell Art Group

(EEAG)

Please print this form using your Web Browser and complete it by hand.

Title                            Mr / Mrs / Miss / Ms  (the age of any applicant must be over 18yrs)

FullName                  _______________________________________________________________________

Address                     _______________________________________________________________________

                                  _______________________________________________________________________

                                  _______________________________________________________________________

                                  _______________________________________________________________________

Post Code                 _________________

Tel                             Day_______________________ Evening_______________________

Mobile                       __________________________

Email                         _______________________________________________________________________

Age (optional)           _______

Date                          ______________ (dd/mm/yyyy)      

How did you hear about us?  

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

 

Cheques are payable to Epsom and Ewell Art Group

This completed form and cheque to be sent or handed to:-

John Lucking                                    

Membership Secretary                         

43 West Hill Avenue                              

Epsom 

Surrey KT19 8JX


01372 722843

john.lucking@outlook.com



  [ __ ]  Please note if you would like your email address shared with other members. Put and X in this box.

   


Epsom and Ewell Art Club undertakes to collect and use your personal data in compliance with the General Data Protection Regulation. Our legal basis for processing this data is our legitimate interest as an Art Club. We use the data for the administration of your membership, the communication of information and the organising of events. Information will not be shared with any other body and information will be destroyed when you are no longer a member.