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LGBT+ Over50s County Durham

Membership Application

Thank you for your interest in membership of the group. The group is entirely volunteer run but obviously there are costs and so there is a small annual subscription of £5. Many members also pop a £1 or two in the kitty at meetings to help with the cost of refreshments, but this is totally voluntary.

To safeguard the security of the group, we ask that you complete the following ten questions. All information remains confidential and complies with GDPR.

(Some anti-virus software might produce a message in error that the form is not secure but please be assured that the site is safe, as the padlock in the address bar confirms.)

LGBT membership
Questions marked by * are required.
1. Name: *
2. Email: *
3. Name of associated organisation if applicable
4. Year of birth *
5. Address inc. Postcode *
6. Phone number (ideally mobile)
7. How would you like to be contacted?
  • Email
  • Phone
  • Text
  • Letter
8. Are you applying for individual full membership or as an associate member? *
  • Individual Full
  • Associate
9. Do you identify as LGBT+? *
  • Yes
  • No
10. Do you live or work in or around County Durham? *
  • Yes
  • No
11. Do you agree to the principles of respect, tolerance and privacy? *
  • Yes
  • No
12. I agree to pay the membership fee (currently £5 per year) with this form.
  • By bank transfer
  • by cheque through the post
13. Any further comment you would like to make
 

If submitting the form online, please use online banking to transfer £5 to our bank account.

Bank Details: LGBT OVER50s COUNTY DURHAM
Sort code 523044 account number 46103279
Please use your full name as the reference.

If you prefer to send in a paper membership form and send it with a cheque, you can download it (PDF) here. Please print it double sided if possible. There is some 'office use only' stuff on the back.
Postal contact address is on this page.

 

LGBT+ Over50s County Durham wants to meet the aims and commitments set out in its equality policy. This includes not discriminating under the Equality Act 2010 and building an accurate picture of the make-up of its service users and encouraging equality and diversity. The organisation needs your help and co-operation to enable it to do this.
Filling in this form is voluntary

Download the PDF form here