Wheelrights on-line membership subscription payment form

This form is for payment either by PayPal, bank transfer or standing order.
(To pay by cheque return to the Join us page and use the paper form.)
The annual sub. is £5.00. ( Note that it's slightly more if you pay by PayPal.) Payment after 30 June covers the following year. (For new members!)

Please complete this form and then pay by your chosen method.
Complete all fields except that if renewing enter "r" in any unchanged fields. (But please enter your name.)

Title Forename Surname: 

Address:
Postcode:
Phone: ,
Email:

I will pay by PayPal, bank transfer or standing order.

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Page updated on 6 February 2017.