Renew Medium group membership

This is an application form for an Medium group (formerly known as education and commercial) to to renew an existing membership of Southampton Scrapstore. Renewals must be applied for within 30 days of your expiry date. (unless you have an offer code)

Medium group membership is for groups sizes of 50 – 200 people. It provides the group with five membership cards, each one for a single named individual to use. Each user has unlimited visits and unlimited scrap materials can be collected on each visit. This membership does not extend to bringing other non-named people.

If your group is not already a member of the Scrapstore, or if your group’s membership lapsed more than one month ago, please complete the new medium group membership form instead.

Renewing medium group membership for another year costs £90.00. After completing this form you will be directed to the PayPal website where you can pay securely online. If the person who is paying your membership has a different name to the group name or and you wish to make changes to your cardholder names please email us to let us know. You may also request an invoice.


About you

Your Name (required)

Your Email (required)

Your Address

Postcode:

Telephone (landline)

Telephone (mobile)

About your group

Your group's name

When does/did your existing Southampton Scrapstore membership expire?

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?

We'd like to keep you up to date with what's going on at the Scrapstore by sending you our newsletter and other occasional updates. We promise not to share your details with anyone else. Would you like to join our mailing list?

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.

Please confirm:

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