oldraineians.com No valid host detected
Old Raineians Association

Old Raineians Association Life Membership Form

Try the Help menu to the left to see a video on how to complete this form.

To apply for Life Membership of the Old Raineians Association you MUST enter your name, surname, Address 1, Post Code, E-mail and one telephone number, as a minimum.

Once you have finished enetering the information required you can then click the Register or Postal buttons below.

The Register button will take you to the Paypal Secure Payment site where you can use your Credit Card, Debit Card or Paypal. You must follow the instructions until you are returned to this site where your confirmation will appear on the page. You will also receive a confirmation e-mail.

When you select the Postal button the details you have entered will appear in a print friendly form which will be addressed to the ORA. Read the instructions on the form as it is not usually neccessary to print and send the form as the process below captures your information and sends it to the ORA.

The cost of life membership is £30.00

Please complete all fields.

Title Name Surname Maiden Name Gender Dates at School
          Start Year End Year  

Address 1 Address 2 Address 3 City Post Code Country
Mobile Phone E-Mail

Finish registration and pay now online.

Finish registration and receive a completed copy of the postal form to post.

    Cancel to quit.
If you really do prefer to fill in a paper form then you can download a Word version of the form, complete it and send it to the address on the form.

Valid HTML 4.01 Strict Valid CSS! Created and maintained by Design My Site