Get New Friend Application

New Friends of Jodrell Bank Application form Please print the form complete and post to address below. 1. Your Details Title forename s surname Address Postcode Tel no email address Details of second friend for couple and family applications Details of children under 18 for family applications age Membership category required please tick Single member 1 year Couple living at same address 11. New Friends of Jodrell Bank Application form Please print the form complete and post to address below. 1. Your Details Title forename s surname Address Postcode Tel no email address Details of second friend for couple and family applications Details of children under 18 for family applications age Membership category required please tick Single member 1 year Couple living at same address 11. 00 Family 15. 00 Data protection Jodrell Bank is part of the University of Manchester and as such is governed by a stringent Data Protection Policy. Your details will not be shared with third parties outside the University and will be used only for the purpose of sharing information with you. 2. Payment details I/we enclose a cheque for made payable to The University of Manchester I/we wish to pay by credit/debit card Tick card type Mastercard visa switch Card no Valid from expiry date Issue Number switch only Security Code This form contains your personal data and we strongly advise sending the form by Registered Post. All forms are handled immediately and destroyed in a safe manner. Please return this form to Friends Scheme Coordinator The New Friends of Jodrell Bank Jodrell Bank Visitor Centre The University of Manchester Macclesfield Cheshire SK11 9DL. 1. Your Details Title forename s surname Address Postcode Tel no email address Details of second friend for couple and family applications Details of children under 18 for family applications age Membership category required please tick Single member 1 year Couple living at same address 11. 00 Family 15. 00 Data protection Jodrell Bank is part of the University of Manchester and as such is governed by a stringent Data Protection Policy. 00 Family 15. 00 Data protection Jodrell Bank is part of the University of Manchester and as such is governed by a stringent Data Protection Policy. Your details will not be shared with third parties outside the University and will be used only for the purpose of sharing information with you. Your details will not be shared with third parties outside the University and will be used only for the purpose of sharing information with you. 2. Payment details I/we enclose a cheque for made payable to The University of Manchester I/we wish to pay by credit/debit card Tick card type Mastercard visa switch Card no Valid from expiry date Issue Number switch only Security Code This form contains your personal data and we strongly advise sending the form by Registered Post. 2. Payment details I/we enclose a cheque for made payable to The University of Manchester I/we wish to pay by credit/debit card Tick card type Mastercard visa switch Card no Valid from expiry date Issue Number switch only Security Code This form contains your personal data and we strongly advise sending the form by Registered Post. All forms are handled immediately and destroyed in a safe manner. Please return this form to Friends Scheme Coordinator The New Friends of Jodrell Bank Jodrell Bank Visitor Centre The University of Manchester Macclesfield Cheshire SK11 9DL.