AECA - Membership Form

Please fill up all required fields with the red asterisk.
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I am a {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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of the {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Completed Standing Order Authority {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Subscription: £20 per annum (£10 per annum for Unwaged & Students)
Gift Aid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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I wish to join the Anglican & Eastern Churches Association and I agree with the AECA Data Privacy Notice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
This is your electronic signature & confirmation. You can read the AECA Data Privacy Notice by clicking the link at the bottom right of this page.

AECA - Membership Form

AECA - Membership Form

Please fill up all required fields with the red asterisk.
Name & Surname {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I am a {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
of the {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Completed Standing Order Authority {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Gift Aid {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Landline Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Mobile Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Fax Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Other Contact Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
I wish to join the Anglican & Eastern Churches Association and I agree with the AECA Data Privacy Notice {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Cognito Forms{{ Cognito.resources["powered-by-cognito"] }}