MEMBERSHIP APPLICATION FORM
NAME: ……………….……….....................………....................................................................
NAME (2ND Applicant):…….….....................………......................................................................
ADDRESS: .………………….....................……….....................................................................
………………...........……………….…....................………….……postcode………………………
EMAIL ADDRESS: ………….....................…….…......................................................................
TELEPHONE Land Line: ………..…......…......……Mobile: ..........................…….......…….…..
I am interested in:- ………………..................................…….......…….…...….………..................
…........................................................ Where did you hear about us ?....................…….......…….
SIGNATURE: ………………...................................….………… DATE: ….....................…….…….
SIGNATURE (2nd Applicant): .……………………….............................…...................…...….…….
ELHS application.pdf
Adobe Acrobat document [97.2 KB]
Current Subscriptions
(The Subscription Year commences January 1st)
SINGLE MEMBER: £12 per annum / JOINT MEMBERSHIP: £16 per annum
(NOTE: Members joining after 1st July need only pay half the above for their first year)
Please complete this sheet and post it, when completed and with the appropriate remittance (£12 or £16), to our Membership Secretary:
MRS SUE JACKSON
8 KENNERLEY AVENUE, WHIPTON
EXETER EX4 8BW
Cheque payable to:-
EXETER LOCAL HISTORY SOCIETY
Alternatively, you may wish to pay online and email a scan of the completed application form to:
ExeLocalHistorySociety at gmail.com
If you wish to do so, our bank details are:
A/C Name: Exeter Local History Society
A/C No: 23514213 Sort Code: 54-21-21
Please email us to confirm when payment has been made.
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