This is the alternative membership application form, only to be used if the automated one doesn't seem to be working.

MEMBERSHIP APPLICATION FORM

I wish to become a member of the Kenneth Grahame Society - 

CONTACT DETAILS 
Title (Mr/Mrs/Miss/Other)

First Name

Surname

Address Line 1
 
Address Line 2

Town/City
 
County/State
 
Country
 
Postcode/ZIP

Email

Telephone

SOCIETY DETAILS
Username for Forum
  
Interests - Related to Kenneth Grahame

Other Literary and General Interests


Yes/No Send me Riverbank News, the society newsletter, by email quarterly 

Yes/No Add me to Events mailing list

Yes/No Add me to Projects mailing list

[Note: Forum user names like Mole, Toad, Water Rat, Badger and Otter are reserved. 
Please propose an alternative user name. The Kenneth Grahame Society does not make 
your contact details visible to other forum users, including members, and does not 
share your contact details with any other companies at any time.]

Save the file to your computer and, after completing the details, please email it
to admin@kennethgrahamesociety.net. 

Thank you.