Extended group – new membership

This is an application form for an extended group to join Southampton Scrapstore as a new member. Examples of “extended groups” include schools with over 200 pupils and organisations that support several other groups.

Extended group membership provides the group with twelve membership cards, each one for a single named individual to use. If your group is already a member or its membership has expired within the last three months, you may renew your existing membership instead of completing the form below. If you wish to apply for a different kind of membership, please select the appropriate form from our membership page.

Extended group membership costs £178.00 for the first year. After completing this form you will be directed to the PayPal website where you can pay securely online.

About you

Your Name (required)

Your Email (required)

Your Address

Postcode:

Telephone (landline)

Telephone (mobile)

About your group

Your group's name

User names (one per box)











Roughly how many people will benefit from your membership of Southampton Scrapstore?
Adults:
Children:

Final bits

How did you hear about us?

By submitting this form, you are making the following statements:

  • I am aged 18 or over
  • I have read the terms and conditions of membership
  • I agree to abide by the terms and conditions of membership
  • I agree to the contents of this form being transmitted over the Internet and stored by Southampton Scrapstore for administrative purposes
  • All the information on this form is correct to the best of my knowledge
  • I agree to pay the current membership fee for the type of membership selected above.

I agree with the statements above.

After submitting this form, you will be directed to the PayPal website where you can securely pay for your membership using your PayPal account.