A Doctor Who Appreciation Society Local Group.

Application Form

Please complete the form below to add yourself to our mailing list and become a member of 'The Wakefield Highlanders'

How much do you enjoy Conventions/Gatherings?

How often would you attend monthly video screenings?

I really enjoy going to conventions or gatherings

Everytime, barring emergencies

I sometimes enjoy going to conventions or gatherings

Sometimes, probably 1 in 2 occasions

I never enjoy going to conventions or gatherings

Not Interested At All

Which Era of Dr Who do you prefer?

Are you interested in socialising with other members of the group?

The Sixties

Yes I would like to socialise regularly

The Seventies

I'd be interested in attending some social events

The Eighties

I'm not at all interested

Comments:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

Home Page | Fan Fiction
| Events & Meetings | Quiztime | Articles From The Culloden Times | Dr Who Related Links | Join Wakefield Highlanders | Copyright Info

E-Mail us at :  gazoldroyd@totalise.co.uk

All matters concerning the administration or membership of the group should be sent to :
Mr Andrew Banks
19 Whitegates Close
Wrenthorpe
Wakefield
West Yorkshire WF1 2AR