Joint Membership Sign Up Form

Surname

First Names

Title

Second Person's Name

Postal Address & Phone

Postal Addressee (i.e. Mr & Mrs X Smith; Mr P Brown; Miss A Smith)

House Name (if applicable)

First Line Address

Second Line Address

Town / City

County

Postcode

Country

Phone Number

Area Co-ordinators

[5] Area Co-ordinator Locations (optional)

Far East Section

[1] What Relation Was The Far East Prisoner To You?

[2] His / Her Name

[3] His / Her Regiment *

[4] Details Of Captivity In Far East *

[5] Did He / She Die In The Far East - If So Where?

[6] If Yes - Where Buried?

[7] Date Of Death

[8] Or Is He / She Still Alive?

[9] Was He / She An Evacuee From Singapore, Java, etc.?

[10] Name Of Evacuee Ship (If Known)

Records / Newsletter

[1] In line with The General Data Protection Regulation which became law in the UK on 25 May 2018, replacing the Data Protection Act 1998; I hereby agree to COFPOW sharing my details with the Officers of the Charity and Area Coordinators only and that, upon cessation of my membership, all my details will be deleted. More information

[2] Would you like your details published in the Newsletter on joining COFEPOW?

[3] *I agree/I do not agree that the photographs and information provided for the Photo Albums, for display in the FEPOW Building and on the Website, can be displayed after cessation of my membership. (*please tick if you agree and leave blank if you do not agree)

[4] COFEPOW sends out a newsletter 4 times a year. To help save on postage please check the box on the left to receive the newsletter via e-mail

[5] Are you a new member? (*please tick if you agree and leave blank if you do not agree)

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I have read Swiftaid's Terms and Privacy Policy and I authorise Swiftaid to add Gift Aid on my behalf during this tax year.

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Gift Aid is a government scheme for UK charities to reclaim the tax you have paid and gain 25% more at no cost or hassle to you.

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[2] Password

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