Membership Application

Please follow the numbered steps:

STEP 1: Complete the sections below.

IPHAS are keen to reduce paper waste. If you would like to assist us, please tick the boxes for all/any members happy to receive 'The Advisor' newsletter by email. Obviously we would also need those members' email addresses in order for us to be able to notify them accordingly. Thank You.

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BLOCK REGISTRATIONS

(Min 5 Homes with distributor)

Distributor Details

Park Details

Title

 Park Name *

Name

 * Address  *
Address on Park *
Home Phone Town *
E-mail Address County *
Are You In A Residents' Association? 

Postal Code *
Yes. I Would Be Happy To Receive 'The Advisor' By Email 

Member Details

Title Initial

Surname

Address on Park

Email Address

Email Advisor

For more Member Fields please complete additional forms and enter total number of forms submitted here: *  

*Required Fields

STEP 2: Enter the date.

Today;s Date (DD/MM/YYYY)

STEP 3: Submit the form.

Please send this form to:

The Membership Administrator.

Sheila Aldous
17 Little Witcombe Court Park
Green Lane
Witcombe
Gloucestershire
GL3 4TZ


I enclose cheque or money order made out to IPHAS for £