OMRS - Join The OMRS -

Join The OMRS

Membership Application Form

Applications for Membership are made to The Membership Secretary at the address below, together with a cheque payable to 'OMRS'. Alternatively you can complete the form and pay on-line. Please complete the form amd click on the Next button.

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Title
Initials
Preferred First Name
Surname
Post nominal letters:	e.g. OBE, FRGS, JP
Address Line 1
Address Line 2
Town/City
County/State
Post/Zip Code
Country


	PO Box 248 Snettisham King's Lynn Norfolk PE31 7TA
	membershipsecretary@omrs.org.uk

Preferred Phone:		Relevant Interests:
Preferred Email:

Family membership
(If you require family membership, please enter name of family member)
First Name		Surname

Are you a former OMRS member?		Are you a dealer in medals?

For subscription and mailing purposes membership details are held on the Society's database. The Society will not pass details from this database to a third party.

Membership Categories

* Only one category should be selected

IN ADDITION TO THE ANNUAL SUBSCRIPTION, A ONE-OFF REGISTRATION FEE OF OF £5.00 IS PAYABLE BY NEW MEMBERS	Amount Due	Please Tick
OMRS MEMBERSHIP UK	£20.00
OMRS MEMBERSHIP OVERSEAS	£28.00
OMRS MEMBERSHIP FAMILY MEMBER	£3.00
One-off Registration Fee
Total Remittance Enclosed £

	I hereby apply for membership in the Orders and Medals Research Society and agree to observe the rules of the Society. In particular, I will not act in any manner or engage in any activity which is likely to be prejudicial to the good name of the Society, and I will behave responsibly and honestly in all dealing, exchanges and communications, whether written or verbal, with other members.

	I give my permission for the Orders and Medals Research Society to retain my details on its membership database.

Note:
As the Orders and Medals Research Society complies with the terms of the Data Protection Act 1998, permission must be given by the applicant to allow the Society to retain personal information on the Society's membership database.

Credit Card Payments

(Do not complete this section if paying on-line, enter details only if printing and posting the form)

Name on Credit Card		Card Number
Valid From Date		Credit Card Type (eg. Visa)
Expiry Date		Security No.

Usual Signature

(Not required if paying on-line, sign only if printing and posting the form)

Date Received:	Dbase Updated:	Card Issued:

click here to view our Refunds Policy

Peter Helmore,		Jim Lees,
General Secretary, OMRS		Membership Secretary, OMRS
PO Box 1233, HIGH WYCOMBE, HP11 9BW		PO Box 248, Snettisham,
Tel: 01494 441207		King's Lynn, Norfolk, PE31 7TA
Email: generalsecretary@omrs.org.uk		Email: membershipsecretary@omrs.org.uk

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