Rest Of The World – Membership Application

Please enable JavaScript in your browser to complete this form.

Payment Membership The

Name

First

Last

Phone

Password

Confirm Password

Please set your preferred password to enable your online account for charity

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Enter Payment Details

Rest Of The World – Membership Application Fee

Price: £30.00

(NB. Rest Of The World entitles you to receive by post two Newsletters per year and may include occasional additional mailings.

By signing, I wish to apply for rest of the world membership of the 25% ME Group and confirm that the information I have provided in this application is accurate. I understand that this information may be used by the Charity for the purposes outlined in this Application Form and within the 25% ME Group’s Privacy Policy, which I have read and understood.

Signature

Clear Signature

Use your mouse, finger or trackpad to sign the form.

Total

Item Quantity Qty Total

There are no products selected.

Rest Of The World – Membership Application Fee 1 £30.00

Total £30.00