Membership Form

Complete the form below. Your application will be reviewed by our committee. Choose a password for your member login after approval.

Type of membership

Individual

Family

Title First name Last name

Full name

Spouse name

Children (18 and above)

1

2

3

Children (below 18)

1

2

3

Address line 1

City

County

Post code

Home telephone

Mobile

E-mail ID

Password (for member login)

Confirm password

I consent to the Darlington Malayalee Association storing, managing and processing my personal data for activities organised by the Association

To share my contact details with Association members as part of its activities

To keep me informed about news, events and activities:

Post

Phone

E-mail

Social media

Media consent

Photos of myself / family

Photos of children named above

I hereby agree to adhere to the guidelines and regulations of the Darlington Malayalee Association

Name (confirmation)

Date