(Registered Charity No. 1084279)

MEMBERSHIP APPLICATION FORM
 
Ÿ  I wish to join the Suffolk Records Society and enclose a Banker's Order form
Ÿ  I enclose a Gift Aid declaration form 
Ÿ  I wish to subscribe to the Charter Series and enclose a Banker's Order form
Ÿ  Please supply me with General Series volume numbers__________________

Ÿ  Delete as appropriate


Signed______________________________________________________________

Name (in capitals)____________________________________________________

Address_____________________________________________________________

____________________________________________________________________

____________________________________________________________________

Postcode____________________________________________________________
 
Telephone___________________________________________________________

Date_____________________

 

This completed form should be returned direct to Suffolk Records Society, c/o Kitwood Farmhouse, Kitwood Lane, Ropley, Alresford, Hants SO24 0DB.