Membership Checkout

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Membership Information

You have selected the Clan Home - Couple membership level.

Description of couples membership ....

The price for membership is £25.00 per Year.

Account Information

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Password

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Email Address

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Full Name LEAVE THIS BLANK

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More Information

Title

Forenames

Surname

Address

Postcode

Country

Home Telephone

Mobile Telephone

DOB - Day

DOB - Month

DOB - Year

Family Relationship

Spouse / Children

CONSITUTION I / We hereby agree to abide by the constitution of the CHA

NEW_MEMBERS Please tick box if you do not wish to have your name, town and country of residence published within a 'New Members' section of The Clan Home Association Website

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