THE HARWICH SOCIETY : Application for membership then complete the boxes in ink and post to:
Aileen Farnell
Membership Secretary
The Harwich Society
Foresters
5 Church St
Harwich
Essex
CO12 3DR
England
I wish to become a member of the Harwich Society.
DETAILS ( Please complete in ink after printing )
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SURNAME: |
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FIRST NAME: |
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ADDRESS: |
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TOWN: |
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COUNTY: |
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POSTCODE: |
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TELEPHONE: |
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TYPE OF MEMBERSHIP |
FEE |
TICK |
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Adult |
£ 5.00 |
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Family (including all children under 18) |
£ 7.00 |
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Senior citizen |
£ 3.00 |
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Junior member (under 18 or full-time student) |
£ 3.00 |
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Member residing outside UK |
£10.00 |
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Non-profit making group |
£10.00 |
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Commercial group |
£15.00 |
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I enclose a cheque (payable to Harwich Society ) to the amount
of £..................