Membership Application Form
Vintage Radio - Membership Application form downloads
Download a Word compatible version of our membership application form by clicking here.
If you want to use our on-line contact form then click here.
Please note: the form below can only be printed out and then sent to us.
To print it click on the print icon under the title.
Vintage Radio - Membership Application form
(Mr, Mrs, Miss, Ms – select applicable)
Address: Area of interest / expertise, tick one or more:
Town / City
Post Code, ZIP code etc.
□ Making, producing and presenting radio programmes
□ Technical support
□ Marketing and Publicity
□ Fund Raising
□ Other – please specify
Contact details: Address for membership payments:
56 Whetstone Lane
□ Full □ Associate Please tick applicable option. Membership=£30 per annum
□ Are you happy to receive communications e.g. newsletters etc. via email and your details to be held electronically on our membership database? (see Note 1 below)
Full membership entitles you to vote in Vintage Radio meetings e.g. AGM, become a committee and / or management team member and broadcast. Associate membership only allows you to broadcast. Both options include a mandatory contribution to our necessary insurance cover.
I agree that any programmes which I make for Vintage radio can be passed to other stations for transmission with the proviso that no significant change is made to the content by editing, taking extracts, shortening or adding to the material without my specific agreement.
Or I do not wish any of my material to be used on any radio station other than Vintage Radio.
(please fill in and delete as appropriate)
All data will be kept in a database and will not be used for any other purposes than communications from Vintage Radio. The data will not be passed to any 3rd parties.
All applications will be reviewed by the management committee.
□ Application approved? (VR management team use only)