New Child -- change-- Registration Form

Please fill ALL fields.

1. Application for Membership
I hereby apply for registration and agree to conform to the Group’s Guidelines and By-laws and any amendments thereof.

2. Nominated Beneficiary
I, undersigned, in the event of my death, whilst a member of the Group hereby instructs the Group to pay all amounts due to me, less any debts to the Group to the person named in this section (The name of the nominee can be given in a sealed letter). I undertake that I may alter the details of the Nominated Beneficiary by filling in a subsequent beneficiary.