Membership Registration Form Tip: Please gather as much information as possible to complete the registration form and advance your membership application. Membership Information You have selected the Full Member membership level. The price for membership is £21.00 per Year. Renews 1st June Annually Account Information Username Password Show Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Personal Information Title/ Rank/ Level Mr Mrs Miss Ms Dr Professor The Revd Sir Master Able Rate Leading Rate Petty Officer Chief Petty Officer Master At Arms Warrant Officer II Warrant Officer I Sub Lieutenant Lieutenant Lieutenant Commander Commander Captain Commodore Rear Admiral Vice Admiral Admiral Admiral Of The Fleet FirstName Surname Postal Address 1 Postal Address 2 Town/ City County Post Code Main Telephone Number (Home or mobile) Other Telephone Number Nickname/Known As Spousal/ Partner Title Not Applicable Mr Mrs Miss Ms Dr Professor The Revd Sir Master Able Rate Leading Rate Petty Officer Chief Petty Officer Master At Arms Warrant Officer II Warrant Officer I Sub Lieutenant Lieutenant Lieutenant Commander Commander Captain Commodore Rear Admiral Vice Admiral Admiral Admiral Of The Fleet Spousal/ Partner Name Spousal/ Partner Surname We use the following information to validate your eligibility for membership Date Joined Royal Navy (Self, family member, friend or other reason) Status Serving Retired Reserve Other Date Transferred to Regulating Branch or Royal Navy Police – please add information that relates to Self, family member, friend or other reason Ships & Establishments Served Whilst in Branch – please add information that relates to Self, family member, friend or other reason Other Ships & Establishments – please add information that relates to Self, family member, friend or other reason I confirm that I understand and consent to the use of the information supplied on this registration form is used in the running and management of a membership based association, website and social media. I confirm that I understand and consent to the use of my name, service details, service dates and photograph on the website and social media. I confirm that I understand and consent to the RBRNPA passing my personal information to a third party to enable the administration of events (AGM, reunion weekends) and for management of the website. Choose Your Payment Method Pay by Credit Card Pay by Check Pay by Processing…
