Paper Membership Form

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MEMBERSHIP APPLICATION

Membership fees  –  tick one of the following:

Single:……….£14                                               Double:……….£21                           

Names:

                Primary…………………………………………………………………………………………

                Partner (if at same address)…………………………………………………………….

Address:

                …………………………………………………………………………………………………….

                …………………………………………………………………………………………………….

                …………………………………………………………………………………………………….

                …………………………………………………………………………………………………….

                Postcode:………………………………………………………………………………………

Contact telephone:…………………………………………………………………………………….

Mobile telephone:……………………………………………………………………………………..

E-mail  address……………………………………………….@………………………………………

Signature (s):……………………………………………./……………………………………………..

Please return the completed form to:

Nigel Palmer, 29 Warwick Lane, Market Bosworth, Leicestershire. CV13 0JU

Please make cheques payable to:  “The Market Bosworth Society”

Note: By signing this form you agree to be bound by the Market Bosworth Society Privacy Policy and GDPR Policy.

Thank you

Events and forms are all available at www.marketbosworthsociety.com

email address info@marketbosworthsociety.com