PLEASE ENTER THE FOLLOWING DETAILS, AND TICK THE APPROPRIATE BOXES.

Your title and Full Name

If you are applying on behalf of, or in association with an Organisation, School, Club, etc. please enter its name

If appropriate, Please give your position.

Telephone Number

Address:.  (This can be the postal address of your organisation, or your private Address.  If you  have opted to use only Emails, then this address will only be used if it is impracticable or not possible to use the internet)

Please make the following selections as appropriate.

Please send everything by Email to this Address

Please send everything by Post to the above address. (We ask for £6 Annually to cover the cost of printing and postage)

I agree with the objects and aims of the Hillingdon Arts Association (The Charity) See About Us

I agree to having the above details entered on the Association’s Database, on the understanding that they will only be used for the purposes of the Charity (see Privacy Policy ).

I hereby apply for Associate Membership of the Hillingdon Arts Association

I am over the age of 18 yrs.