Goudhurst Oil Group - New Member Request Form

Basic information required to become a member of the group

This page contains the information that we require for you to become a member of the group.

PLEASE NOTE THAT WE WILL NOT TAKE NEW MEMBERS FOR THE NOVEMBER 2015 ORDER AFTER 17.00 on 30TH OCTOBER 2015. IF YOU COMPLETE THE FORM AFTER THAT TIME WE WILL SEND YOU AN EMAIL FOR THE NEXT ORDER IN JANUARY 2016.

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address

Question Title

* 4. Telephone Number (For contact with the supplier)

Question Title

* 5. First Line of Postal Address (including house number, if you have one)?

Question Title

* 6. Second Line of Postal Address

Question Title

* 7. What is your village name? (Goudhurst, Horsmonden etc.)

Question Title

* 8. Post Code (We only accept orders if you are in Postcode TN12 or TN17. Please state your postcode in the following format: TN1X 9XX, in CAPITAL LETTERS and NUMBERS, leaving a space between the first and second parts of the code).

Question Title

* 9. Do you have any other comments, questions, or concerns?

Thank you for completing the form. Once you press the "Done" button below, we will invite you to the next Goudhurst Oil Group order. We take orders in the latter half of June, October and January for delivery in July, November and February respectively. If you miss the deadline for one cycle, we will include you on the "Request for Orders" form on the next cycle.