The ATELIER Users Group © All Rights Reserved   

*Surname:

*House  Name /No. & Street:

*Village/District:

*Town/City:

*County:

*Postcode:

*Country:

CONTACT DETAILS

*Home Telephone:

Mobile:

Work Telephone:

Extn No. :

Fax:

*E-mail Address:

YOUR INSTRUMENT

*Atelier Model :

*How long owned :

*Do You Play Pedals? :

*Your Dealer:

MEMBERSHIP

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Any Personal Message:


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*First name:

ADDRESS

NAME

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Your Details:
NEW MEMBER APPLICATION FORM
Standing Order Form
JOIN US

Please Read Carefully:    To apply for membership to the AUG we need to ask for some of your details for our records and assisting us in running the group smoothly. Please fill out the application below. Then, by simply Clicking On Submit you should then receive an automated message thanking you for your application.


              Once you have received that automated message please click on and print the Data form  below. We need you to sign this so that we may keep your details on our records  and provide you with backup etc.


All that is left to do is pop your subscription and form into the post. It is possible to pay by Standing Order for which you would need to click on the appropriate box below and fill out the form to post. This facility cost an extra pound a month however, to cover admin  


Once we have received your details, data acceptance and payment we will then be able to issue you with your password to the Members Area and send out your AUG Stick etc.

AUG MEMBERSHIP APPLICATION
Please Note: This page has been lightened for the applicant’s printing purposes
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Please Make Cheques Payable to:  DTKM