Change of Membership Form

First Name*

Last Name*

Email*

Phone*

Current Membership Type*

I would like to change my membership to*

I would like my new Membership to commence

I have the following concession card*

Is there any additional information/questions you'd like to add?

Terms & Conditions

Current payments must be up to date to allow a change of membership

You understand the specifics of the new membership type and acknowledge you have read and agree to the ERC Membership terms and conditions.

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Type the code from the image