Dennis Society
Membership application / renewal

Please tick box
This is a new application		This is a membership renewal		
		Membership number (if known)		

You are invited to subscribe to the Dennis Society which exists to promote and encourage the preservation of Dennis vehicles by individual and group efforts. Annual subscription rates are:-
For individual members (via either web access or postal)  £5 per person per year
For groups (up to 50 members web access only)             £10 per group per year
For groups (50 members or over web access only)          £20 per group per year

Name		
Address		

Post Code		
Telephone		
e-mail address		

I enclose: Subscription for the Dennis Society		    	£          

 A donation        			£ 
                                                            _ __________
                         
Total enclosed:  			£

Data Protection Regulation Privacy Statement
Dennis Society will retain, for six years following the end of the financial year of the cessation of membership, the information provided by you on this application form. The information will be stored in paper and secure electronic format for the purposes of contacting you under the lawful basis of processing under your Membership Contract with us, in regard to membership renewals, Dennis Society events and activities including trips and fund raising schemes, etc. The information will not be provided to any other party outside of Dennis Society without your express prior written permission. 

In the case of group membership, a separate signed form is required for each member of your group. The form may be posted to the address below or scanned and sent by email to the Secretary, secretary@dennissociety.org.uk

Signed ________________________________ Date __________

Cheques should be made payable to      Dennis Society

Please return this form to:-

Dennis Society, Hampshire House, 204 Holly Road, Aldershot, GU12 4SE.

Photocopy this form and pass it on to others if you wish.
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