Computer ◆ Conservation ◆ Society

New Member Form

Please complete the form below as fully as you can and press the Submit button when it’s complete.

It would be helpful to us if you would indicate what prompted you to join us in the box below.

Please complete the form below as fully as you can and press the Submit button when it’s complete.

In case of difficulty please contact our membership secretary, Dave Goodwin.

Surname
Forenames
Usual Name (if different from forename)
Title
Date of Birth (optional)
House Name
No and Road Name
District
Post Town
County
PostCode
Country
Contact Telephone No.
Email Address
Additional Information
For instance any particular experience that would be valuable or of interest to the CCS
How did you hear of the Society?
Or what prompted you to decide to join us?
Information on this form will be sent to the CCS Membership Secretary, and will be added to a mailing list which is maintained by the BCS.
Your information will not be passed to any other third party.