New Membership Form

YEAR OF BIRTH
Optional field
Please enter a 4 digit year. This is only used for statistical purposes to allow the club to understand the age profile of the membership.
ADDRESS LINE 1
We need your address to send you your Club magazine and other Club information. We will not give your address to any third parties without your consent.
EMAIL ADDRESS
We need your email address to verify your identity when you wish to access your membership record in the future. We will also use your email address to send you information about the Club. We will not give your email address to any third parties without your consent.

TELEPHONE
We need your telephone number to telephone you very occasionally for club business. We will not give your telephone number to any third parties without your consent.
OTHER TELEPHONE
Optional, but if you have another telephone number / mobile phone it could be useful to reach you. We will not give your telephone number to any third parties without your consent.

Family Members (maximum of 2 allowed)

Family members can be added for a fee of £6 per person.
No family members.

£31.00 incl £4.00 joining fee

Why not pay your membership fees by Bacs Direct Debit? Would you like to know more about it? Tell me more...

    Please choose one of the four payment options below.
    Direct Debit (GoCardless), PayPal and Credit/Debit Card (Stripe) are almost instantaneous and we will get an email notification.
    If you choose Cheque we will have to wait for the cheque to arrive.
    By choosing one of these four methods it will let us know you have chosen which one.
    There are other payments choices you can make and they are: by Bank Transfer (BACS) to Acct Name: The Imp Club Ltd, Sort Code: 20-28-20, Acct No: 00390518 (Please include your name and membership number as a reference), Credit/Debit Card (via a phone call to me – see Impressions or email me first membership@theimpclub.co.uk) or a previously set up Standing Order. In these cases please also drop me an email to let me know
    Please don’t forget to send the cheque or make the relevant payment 😊