Online Membership Form

Please note when paying by bank transfer, details of this payment will need to be sent to confirm the transaction.

Why not join using Paypal ?

First Name *

Enter your First Name

Last Name *

Enter your surname

Email *

Confirm Email

Phone

Enter your telephone number - Optional

Address *

Address Line 1

Address Line 2

City

County

Post Code

Please enter your exact postal address including the Postcode in order that you will receive all your membership documents and bulletins

Select one from the options below.

I have arranged a Direct Debit from my bank
I have completed a Bank Transfer for £20.00 to National Begonia Society
I have sent a cheque for £20.00

Please confirm one of the above statements. Either you have arranged a direct debit form with your bank instructing them to pay National Begonia Society the sum of £20.00 on an annual basis on 1st November each year until cancelled or have sent a cheque or bank transfer for £20.00 to Sort Code : 54.10.02----- Account Number : 89255208--------------------- Account Name : National Begonia Society. ------- Membership Secretary - Sue Weldon, 7 Washington lane, Euxton, Chorley, Lancashire, PR7 6DE.

PLEASE NOTE - You can put any other additional info you think we may need in this box

This form is only to be used for new UK membership applications - PLEASE DO NOT USE IT FOR RENEWALS

Date *

Date of application

Type of Membership *

New Member - UK Only

Please select the type of membership you are applying for

Happy to share details

I'm happy to share details within the NBS.
I don't want my details shared within the NBS

Phone