Member Details

Have you sent this data before ?

 Yes             No          Don’t Know

Surname

First name(s)

AKA (also known as) - Nickname

 

Address (door number & street name)

Town/City

County

Post code

Date of Birth (DD/MM/YYYY)

Home phone number (including Area Dialing code)

Mobile Phone

e-Mail Address

 

Backup or second e-mail address

 

Current Member of the Scout Movement

 Yes               No

Membership Number
This can be found on your Appointment card
or on the address label of Scouting Magazine

 

Current Scouting Appointment

 

Current Scouting District (if applicable)

 

Current Scouting Area

 

How did you find out about this web site.

 Web site search
 Existing Fellowship Member
 The sign on the Staff Hut at Fordell
 Other (than above)

Send this data: (click send)

Once you have hit the ‘Send’ button on this form please check the ‘sent’ box on your email account and ensure that the email was sent.

Should this form fail to be sent by e-mail, please send an e-mail including the above details to:
New_member@Fordell-Fellowship.co.uk

For further information please contact: New_member@Fordell-Fellowship.co.uk

This information will be used only by 
Fordell Fellowship for the purpose of membership or potential membership.

This information will NOT be passed on to anyone else.

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