Membership - Loving Local - Radio for Hertfordshire

Membership

Please complete this form to apply to become a company member

Membership application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City Postcode Country

Phone(Required)

Email(Required)

Date of application(Required)

Membership type

Standard (£30.00 per annum)

Concessionary (£15.00 per annum)

Eligibility(Required)

I confirm that I am either in full time education or in receipt of a state benefit

Pirate radio involvement(Required)

I have not been involved in illegal (“pirate”) radio

Place of residence(Required)

I reside within the St Albans City and District area

Yes

Volunteer?(Required)

I have been an active volunteer with Mix 92.6 for at least the last six months

Yes

Articles(Required)

I am making this application in accordance with the Articles of the Company

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Membership application

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