Membership Application Form

Membership to Radio 4EB

Organisation Name (if applicable)
Renewal or new membership?
If renewal - enter Membership Number if known.

By Signing above I hereby apply for MEMBERSHIP to Radio 4EB (Please note - this form MUST BE SIGNED by the person applying for membership.) I fully support the Association's aims and objectives in relation to the station and the programming policies. I understand and acknowledge that the EBAQ Ltd Constitution and group's by-laws are available from the website and the office. Once you 'click' on submit below you will be sent to the payment section.