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~ Members Application Form

You can apply (or re-apply) for full membership of Northampton LAMs in two ways. 

Click on the link below to download the Members Application Form [pdf document] and return the completed form, together with an annual subscription fee of £15.00 (2018), to our Assistant Secretary (contact details shown below).

 

Members Application Form

 

Mrs Anne Stevens

Assistant Secretary

50 Wardington Court, Welford Road

Northampton

NN2 8FR

Telephone: 01604 947422

Email: annestevens@aspley.net

 

Alternatively, you can apply for membership directly via this website, by completing the contact form below.  You will then need to send your annual subscription fee to our Assistant Secretary separately, or you can let us have your remittance on your first visit.

Northampton LAMs complies with the EU General Data Protection Regulation (GDPR). The information collected via the Members Application Form is required for membership purposes only. Your personal information is used to communicate with you on matters relating directly to your membership.

 

Full Name: *
Address: *
Postcode: *
Telephone Number: *
Status: *
eg Married/Widow/Partner/Sister
E-Mail Address: *
Lodge Member Name: *
eg Husband's Name
Lodge Name: *
Lodge Number: *
Birth Month:
ADD your Birth Month if you consent to this being shared with the membership in a celebratory context
Website Image: *
State YES or NO to your image being made public via this Website, or the Provincial Website
Newsletter Image: *
State YES or NO to your image being shown in our published Newsletter
Date of Application: *
 *
Please add the two numbers