Application for Membership

Annual membership runs from September to August
Cost is £12 per year.
Full time students £6 per year (on production on student card)

This form, when completed, will be emailed to our Membership Secretary who will acknowledge your application by email with in a few days, unless he is away idling in Spain, in which case it will take a bit longer. If you are sending payment by cheque please write your address and email address on the back of the cheques so that we can match it to your Application. If you are making a bank transfer as payment please use your surname as the reference.
DO NOT SEND ANY BANK OR CARD DETAILS THROUGH THIS WEB SITE. THIS IS NOT A SECURE WEB SITE and the Society has no method to accept card payments or to access your bank account.
This form cannot be processed without at least one surname, a postcode and an email address. If you are unable to complete these fields online please download and use a paper application form.

I would like to join the Society for the 2018/2019 Season (September 2018 to August 2019)

Please select new or renewal
Title
*
If you are a couple at the same address please enter the second person here
Title

Address Line 1 Have any details changed since last year?
Yes  No
Line 2
Line 3
Postcode This form cannot be processed without a postcode
Telephone
and/or Mobile
Email*
We will only use this information to contact you on Society business or to let you know about Hispanic events in the area. We will not pass on your information to anyone else.
Are you interested in (please select)
 Language Classes
Meetings & Classes
Monthly Meetings
How will you be paying your membership fee? 
Select the amount you will be paying
How did you hear about Portsmouth Hispanic Society? 
 
If Other please specify 
Would you like to add any comments or other information?
If you would like a copy of this completed form click print before you submit it
     
If you print the form you MUST submit the form as well

 

HOW TO PAY
If you have online banking our bank details are as follows:
Co-Op Bank
Sort code: 08-92-99
Account No. 65732164
Use your surname as the reference
 
OR
 
Send a cheque to:
Membership Secretary
11 Arran Close, Portsmouth,
Hants, PO6 3UD
Please write your address on the reverse of the cheque
 
OR
 
By giving your payment to your course leader. Preferably in an envelope with your name on the outside
 

 
PAPER VERSION
If you prefer to print a paper form CLICK HERE and download a PDF of this Membership Application Form and hand it to your course leader or bring it to the next meeting or mail it to the Membership Secretary