back
to Join page
Stratford
upon Avon Canal Society
Membership
Application Form
(please print this form and complete it)
| |
Name |
......................................................................... |
| |
Address |
......................................................................... |
| |
|
......................................................................... |
| |
|
......................................................................... |
| |
|
......................................................................... |
| |
Post
Code |
......................................................................... |
| |
|
|
|
| |
Junior
(under 18 yrs) |
@
£2.50 |
............................... |
| |
Student |
@ £3.50 |
............................... |
| |
Single
Adult |
@
£7.50 |
............................... |
| |
Joint
Husband and Wife |
@ £9.50 |
............................... |
| |
Life,
Single |
@ £80.00 |
............................... |
| |
Life,
Joint |
@ £95.00 |
............................... |
| |
|
|
|
| |
Donation
(thank you) |
|
............................... |
| |
TOTAL |
|
............................... |
Membership runs from
September
Please make cheques
payable to The Stratford upon Avon Canal Society
Send to
Clive Henderson
The Bridge House
Church Lane
Lapworth
Solihull
B94 5NU
back
to Join page
|