THE HENRY WILLIAMSON SOCIETY

Membership Application Form

Name(s): 1.
2.
3.
4.
Address:

 

 

Postcode:

  Tel:

I/We wish to join the Society as: (please tick box)
Student member: £5.00 p.a.
(under 18 or in full time education; evidence will be necessary)

General member: £12.00 p.a.

Family membership: £15.00 p.a.
Overseas countries please add £2.00, except EEC countries

I/We enclose a crossed cheque/postal order (pounds Sterling only) for

£_________ made out to The Henry Williamson Society

Send to: Mrs Margaret Murphy, Membership Secretary, 16 Doran Drive, Redhill,  Surrey, RH1 6AX, England

If you would rather pay by Banker’s Order please complete the Bankers Order form and return both to the Membership Secretary.

Membership runs from 15th September in any year. Those joining after 15th May may do so at half price. Further information and a current Journal will be sent on joining.

PLEASE PRINT OUT, FILL IN, AND RETURN THIS FORM