Membership application form

Full name:


Additional name 1 (and DOB if junior) family membership only:


Additional name 2 (and DOB if junior) family membership only:


Additional name 3 (and DOB if junior) family membership only:


Additional name 4 (and DOB if junior) family membership only:


Additional name 5 (and DOB if junior) family membership only:


Address line 1:


Address line 2:


Address line 3:


Address line 4:


Postcode:


Telephone:


Email address:


Rat related website address (if applicable):


Rattery name (if applicable):


Are you interested in rats as pets:
Yes
No
Are you interested in showing rats:
Yes
No
Are you interested in breeding rats:
Yes
No
Would you like to join our online members forum:
Yes
No
If yes, which username will you use:


Please confirm type of membership required:

• Adult (16 and over) £14 (new members £16 to cover joining pack)
• Junior (under 16) £11 (new members £13 to cover joining pack)
• Student/OAP £11 (new members £13 to cover joining pack)
• Family (please list all interested family members above) £18 (new members £20 to cover joining pack)

Type of membership:


Using the email address payment@neratsociety.co.uk you may make a payment by PayPal using the link below.

PayPal payment made:
Yes
No
Please record amount of payment sent via PayPal:


Please use this space for any notes that will help us to process your application for NERS membership. :