Computer Conservation Society
New Membership Application
   
Please complete the form below as fully as you can and press the submit button when it's complete.      
         
Surname
     
Forenames
     
Usual Name (if different from forename)
     
Title
     
Date of Birth
     
         
House Name
     
No and Road Name
     
District
     
Post Town
     
County
     
PostCode
     
Country
     
       
Contact Telephone No
     
Email Address
     
         
Are you a BCS member?
     
(If so, you can join the BCS from your BCS personal page.)
       
       
Additional Information
For instance any particular experience that would be valuable or of interest to the CCS
     
       
     
       
  Information on this form will be sent to the CCS Secretary, and then included in a mailing list which is maintained by the BCS.
Your information will not be passed to any other third party.