Form

Heart to Herts

The Social Club for Single People

To Join 'Heart to Herts'

You can either pay by cheque or pay on-line using your debit/credit card.

If paying by cheque:

Please make your cheque payable to Heart to Herts.

and post it to our registered office at:

18 Kingsfield Road Biggleswade Bedfordshire SG18 8AT

Please write your card number and expiry date on the back of your cheque

and ensure that it arrives at least 5 working days before your chosen event.

To join and pay on-line:

Simply complete the application form below and

then proceed to the secure payments page.

By sending your completed form to us it is accepted that you have read the

Terms and Conditions and agree to abide by them.

Heart to Herts is registered under The Data Protection Act 1998. Registration Number PZ8066589.

All details held by us will be treated in accordance with such laws. We will not divulge any of your details to a third party without your prior consent.

Please enter your details below.

*Special Introductory Offer

*Full first years membership fee £100

There is a one off registration fee of £25 payable upon joining.

Click here proceed to the payment page.

First Name:
Last Name:
Home Address:
Home Phone:	(with area code)
Mobile Phone:
Email Address:
Profession/Occupation:
D.O.B. and Interests::