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DFA Membership Application

  • For UK POSTAL APPLICATIONS to ENROL and for paying ANNUAL SUBSCRIPTIONS by POST - Note: UK ONLY. If you would like to enrol &/or pay your subscription by post please print the form:
    UK Membership by Post
    And send it, completed, with your cheque in £ GBP Sterling to: The Treasurer DFA, as directed.
  • INTERNET APPLICATIONS - First Time Only - to ENROL and pay your first ANNUAL SUBSCRIPTION – This will give you access to the Member’s Only area of the DFA website and other benefits for a full year.


    Complete this form to pay via PayPal, you can use Credit or Debit cards through the PayPal system. Future Annual Subscriptions will be requested by the Treasurer via PayPal:
Title
Forename(s) *
Preferred Forename
Surname *
Address Line 1 *
Address Line 2
Town or City
State or County
Postcode or Zip code
Country:
Telephone No. * (including Country & Area Codes)
E-mail Address *
Note: The addresses – postal and e-mail - should be those for use by the DFA and may differ from the billing address you use for PayPal.
(For DURIE read also: Dury, Dowrie, Durry, Du Ry, Duryea and others.)
My application is made on the grounds that (check all that apply):
  • All information will be held in strict confidence.
  • ENROLMENT FEE & FIRST ANNUAL SUBSCRIPTION - The DFA Enrolment Fee is £15 GBP Sterling (approximately US $25) and your First Annual Subscription Fee is £12.00 GBP Sterling (approximately US $20).
  • TOTAL AMOUNT to be paid £27.00 GBP Sterling or equivalent in your currency
  • Following receipt of your Application Enrolment and first Annual Subscription fees you will receive from the Treasurer confirmation of your Login Details and Membership Number giving you access to the Members’ Only part of the DFA website.

To continue, please enter the darkest characters displayed below:

 
If you are not redirected to the PayPal website when you press Submit, please e-mail the information requested above to treasurer@duriefamily.co.uk with Subject: Payment to DFA.
Copyright ©2012 The Durie Family Ltd.