MEMBERSHIP APPLICATION

Name……………………………………………………………………………..

Address………………………………………………………………………..…

…………………………………………………………………………………..….

Post Code……….……….. Telephone ……………………..

Facsimile………….……… Mobile…………………………...

e-mail……………………………..………………………………..

I apply for FULL / SOCIAL / ASSOCIATE / JUNIOR* Membership

*Delete as appropriate

I enclose the Membership Fee / Donation of £ ……..

(see here)

Signed ………………………….………………………….. Date …../…../………

Please send completed applications to: