How to Join

MEMBERSHIP APPLICATION FORM – PRINT THIS PAGE (Ctrl + p) AND SEND TO
THE ADDRESS BELOW.
Annual subscription: £2  Cheques payable to Loose Area History Society. In addition there is
a charge for attending each meeting in the programme which is shown on all posters and
flyers. Being a member can be cheaper than paying the visitors charge.
You may join at any meeting or by posting the form below to :-
Mrs H. Gallavin,
647 Loose Road,
Maidstone,
ME15 9UT
_____________________________________________________________________________

PLEASE COMPLETE IN BLOCK CAPITALS

Title Mr/Mrs/Miss/other……………………………………………..…

 

Surname………………………………………………………..…………………………

 

FirstName/s……………………………………………………..………………………

.

Address……………………………………………………………………..…………

 

…………………………………………………………..……….…….

……………………………………………………………………….

 

 

………………………………………………………………………..

Postcode………………………………………………………………

 

 

Tel no.(…………….)………..…………………….………………

Email: …………………………………………….………..……

 

I/We wish to join the Loose Area History Society and enclose a cheque for £2 per person..

Signed………………………………………………………………………………..

 

Date……….………………..