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): .……………………….............................…...................…...….…….
By signing this application, you agree that your data will be stored and processed by the Society's committee. To update your information or have your data deleted, please send an email to exelocalhistorysociety@gmail.com.
ELHS application.pdf
Adobe Acrobat document [110.2 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.
Print 