Individual membership renewal

This is an application form for an individual such as a student, artist or parent to renew an existing membership of Southampton Scrapstore.

Individual membership provides you with one membership card for a single named individual to use. This will grant you access to the scrapstore for one visit each week, with recycled resources being charged at £1 per bag. If you are not already a member of the Scrapstore, or if your membership lapsed more than three months ago, please complete the new individual membership application form.

Renewing individual membership for another year costs £15.00. 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)

When does/did your existing Southampton Scrapstore membership expire?

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.