Lexden History Group

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Membership

LEXDEN HISTORY GROUP

RENEWAL / NEW MEMBERSHIP APPLICATION FORM

Membership renewal is due before the May AGM.  

Please print your details clearly when completing this form.

 

MEMBERSHIP NO (renewal only). .................................

 

Name of Member: ...........................................................

 

Names(s) of additional family Members'

 

Member 2 .......................................................................

 

Member 3 ........................................................................

 

Member 4 .......................................................................

 

Address: .........................................................................

 

........................................................................................

 

........................................................................................

.

Post Code: ....................................................

 

Telephone No: ..............................................

 

Email: .............................................................................................

 

Please tick the membership type required:

 

Single membership £15 .......   Family membership £20 ........

 

Please hand this form with your payment to Jackie Bowis or post

to her with your cheque made out to “Lexden History Group”.

Membership Secretary

20 Munnings Road

Colchester

CO3 4QG

 

 

To print form press Ctrl & P together