Name:

Date:

Occupation:

Company Address:

Postcode:

Home address if you want to be mailed to at home and Postcode:

Tel Number work:

The MPA would like to maintain contact by email because it is fast and inexpensive.

Email Address:

Type of membership and cost inclusive of VAT:

Ordinary £47
Country/Retired (country live or work over 50 miles from Mcr) £37
Associate (under 25) £32.50