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MEMBERSHIP FORM
Name: Mr/Mrs/Miss/Ms .........................................................................................................
Address .................................................................................................................................
................................................................................................................................................
Telephone No. ..............................................................
In case of family membership, name(s) of other applicants at the same address
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Subscription enclosed (Please tick):
Ordinary - £8
Full time student - £5
Family - £12
School or corporate - £12
(NB First time subscriptions paid after 31st October extend to the end of the following year.)
No special knowledge or experience is necessary to join the Society, but any experience you may have of archaeology, local history, computer skills, photography, etc could be useful to us. Please indicate below.
How did you learn about EEHAS?
SIGNED .................................................................... DATE ............................
Please send your form together with a cheque or P.O. payable to 'Epsom & Ewell History & Archaeology Society' to the Membership Secretary: Mrs Doreen Tilbury, 31 West Hill Avenue,Epsom, Surrey, KT19 8LE or bring it with you to a meeting.
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