Membership Registration Form
Name of Society: (Or individual)
Please give the name, and office held of primary Society contact.
Please give contact details for primary Society contact above:
Please give Society contact details if different from above:
Date of Society AGM: ________________________________________
In order to keep the membership list up to date please inform us of any change in the contact
details for the society or primary contact.
Data Protection Legislation: The information you have provided will be used for the purposes
of the administration of the Dorset History Forum. It may also be disclosed to Committee
members of the Forum and staff of the Dorset History Centre and may be kept manually and
on computer. The information will be retained for as long as your society remains registered
with the Forum or until you notify us of any changes.
We
wish to compile a published members list available in hard copy and on the
Dorset History Forum web site. To grant permission for your details to be used
in this way please tick the box.
If you wish to stipulate which information can be used on a members list e.g. a telephone
number only please highlight the relevant details on the above form.
PTO
Register of Members Interests and Expertise
Please list the geographical area(s) of interest of yourself/your society:
Please list the subject area(s) of interest to yourself/your society:
Are there any areas where you have particular expertise which you would
be willing to share with the Forum at a future date?
We are looking for volunteers to help in the administration of the Dorset History Forum.
If you are willing to volunteer, please indicate below the ways in which you could
provide assistance.
Thank you for completing this form. It will be very helpful in the future
administration of the Forum.
Please return this form to:
Hayley Caves
Membership Secretary
58 Springfield Road, Broadwey
Weymouth
Dorset
DT3 5RN
E-mail: caveshayley@hotmail.com