LX2009 Online Registration  

Please complete one form for each member. All members will be recorded at the same address

If contact details (email/phone/address) are omitted for members 2-4 those for member 1 will be
used.

If child or infant members are to be included please put the responsible
adult in member 1 position.

Please select the check box next to each member

 

Member 1  

Forename

Surname *

Badgename

Address1 * 

Address2  

Town/City * 

State/county

Postcode    

Country *

Email address

Telephone

Membership Type *

* required fields

 

Attending    £55

Attending  concession £30

Supporting  £30

Junior         £20

Child          £5

Infant         free

The categories of children are:

younger than 5: Infant
from 5 and 11 inclusive: Child
from 12 and 16 inclusive: Junior

Young Adult memberships are under 25 years
Concessions are unwaged.

All ages and concessions apply as of the the Friday of the convention. Those claiming concessions should bring evidence to the convention when they register.

Member 2  

Forename

Surname *

Badgename

Address1  

Address2  

Town/City  

State/county

Postcode    

Country

Email address

Telephone

Membership required *

* required fields

 

Attending    £55

Attending  concession £30

Supporting  £30

Junior         £20

Child          £5

Infant         free

The categories of children are:

younger than 5: Infant
from 5 and 11 inclusive: Child
from 12 and 16 inclusive: Junior

Young Adult memberships are under 25 years
Concessions are unwaged.

All ages and concessions apply as of the the Friday of the convention. Those claiming concessions should bring evidence to the convention when they register.

Member 3  

Forename


Surname *

Badgename

Address1  

Address2  

Town/City  

State/county

Postcode    

Country

Email address

Telephone

Membership required *

* required fields

 

Member 4  

Forename

Surname *

Badgename

Address1  

Address2  

Town/City  

State/county

Postcode    

Country

Email address

Telephone

Membership required *

* required fields

 

 

Membership records will be held on a computer database.