Online Membership Form

Please complete the online GOSHA membership form below or alternatively download and print the form by clicking here. Please return the completed form with an enclosed cheque to:– Jon Coyde, Secretary, Para Siempre, Rue Du Charruee, Castel, GY5 7XU.

Type of Membership

Membership Start Date

Name of Company / Organisation / Individual

Business Activity

Number of Employees / Members / Volunteers

Contact Name


Telephone No.

Your Address

Your Email

Payment Method

Cheques to be made payable to ‘GOSHA’.

Order Number For Invoice (if applicable)