Mini Gallery Guest Artist joining form ONLINE GALLERY MEMBERSHIP ORDER FORM - PAYMENT BY CHEQUE NB: You should only send cheque payment once you have been invited to join following the free trial week stage of the application process.

Name:

Address:

Phone Number:

Email Address:

I enclose cheque payment for the following:

Guest 6 month membership @ £30

I agree to abide by the website terms and conditions. ( available in printable format at http://www.minigalleryworld.com/membershipterms_print.asp )

Signature:

Date:

How did you find out about Mini Gallery?

Special offer code (if applicable):

To join please print off this page and complete your form and send together with your cheque. Please make cheques payable to Mini Gallery and post to: 4 Bassett Court, Bassett Avenue, Southampton S016 7DR Cheques should be from a UK bank and in pounds sterling. (£ GBP) Please write your name and address on the back of the cheque.