Name *

First Name

Last Name

Telephone

Country

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Correspondence Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Billing Address (only required if the billing address is different to the correspondence address above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Payment (Please confirm your method of payment) *

Upon successful approval of your membership, we request that your annual membership of £77.00 be paid in full per membership. Please specify your preferred payment method.

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Declaration of membership application *

I confirm that the information I have given in this application is true to the best of my knowledge. I understand that my application may be declared invalid and any subsequent membership may be revoked if any of this information is found to be inaccurate. The EFF will not be liable for making any refunds in these circumstances. I further understand that the EFF may wish to verify some or all of the information provided, and I hereby authorise the EFF or its agents to perform reference checks as required. I give my permission to the EFF to retain, file and process the information I have provided in this application, and I undertake to advise the EFF of any changes to my personal data contained in this application. If I am accepted into the EFF, I agree to be bound by its constitution

I confirm that the information I have given in this application is true to the best of my knowledge