Registration

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4 Villages' Conservation Society (4VConSoc) - Open Registration Form

Completing this form is voluntary – you need not complete it for Membership, although we would really appreciate it if you did!!

All data submitted is secure and will never be used by the 4V ConSoc for purposes other than membership administration and support. Please answer all questions marked with a red asterisk. Once completed, hit the submit button.

Thanks for your patience and understanding!

1. Name *

First

Last

2. Your email address *

Confirm Email

This will be used for confirmation

3. Your preferred phone contact (format example: 07762341256; 01227721123)

Optional. Here you can add your usual mobile or landline number – no spacing please and just one number per registration.

4. Please select your village location *

Littlebourne
Wickhambreaux
Ickham
Stodmarsh
Elsewhere (see below)

5. If you ticked "elsewhere" – please indicate where you live

6. Your current Subscription status *

Yes, I’m already a member
No or not sure, but I’m interested in joining

Now please answer the next 2 questions

7. If you replied 'Yes' above, how long have you been a subscribed member (approx)?

Less than 2 years
2-5 years
More than 5 years
Click to deselect any of the above

Note: use deselect option if you mistakenly ticked one of the other buttons!

8. If you replied 'No' or 'Not sure' under question 6, what subscription type are you interested in?

Family membership
Single membership
Not at this time thanks.
Click to deselect any of the above

Note: use the deselect option if you mistakenly ticked either of the other buttons!

9. Tick any specific reason/s for your interest *

Want to be informed or involved in general conservation and the work of 4VConSoc
Local environmental issues
Concerns about the Little Stour chalk stream
Local planning and development concerns
Interested in becoming a volunteer
Would like to give a talk or host event
Other

It will help us understand your interest in the Society by ticking any or all the boxes that interest you.

10. Expertise and Assistance – let us know if you would like to contribute in any of the following ways:

Website management
Distributing materials
Printing and design
Food preparation
Hosting an event

11. Other reason/s for your interest *

Add a brief description here if you wish to add anythnig to the previous 2 sections