Canterbury & District

Model Engineering Society

Membership Application Form

Ordinary Membership is open to all persons aged 18 or over.
Family Membership is extended to named members of the families of ordinary members (including children under 18) living at the same address.
The Society’s membership year runs from 1st March to the end of February.
I wish to apply for membership of the Canterbury & District Model Engineering Society :-
 

Title _____  First Name ________________ Surname _____________________________

Address _________________________________________ Tel (day) ________________

              _________________________________________  Tel (eve) ________________

             _________________Post Code _____________  Tel ( Other) ________________

If under 18 date of birth ________________

Other names to be included for Family Membership.

  Title _____  First Name ________________ Surname _____________________________

  Title _____  First Name ________________ Surname _____________________________

I understand that membership of the Society is at the discretion of the Committee whose decision is final. If accepted I / we will abide by the Society’s rules and procedures.

  Signed___________________________________________________________________

Payment details:-    Entrance fee                                                       £10.00 (non-refundable)  

                *Annual Subs                                                        £20

                *Family Members                                                  £1.00  (each)                                                                           

                *Associate Member of Heron Boat Club                 email for details

  I enclose my cheque / PO. Total value                                £_______________

In the event of non-acceptance the Society will refund items marked *

Please send your completed form and payment to the Secretary:

Mrs. Phyllis Barker. 74, Queens Road, Whitstable, Canterbury, Kent, CT5 2JQ

Date rec’d                                Checked                   Approved by Committee                          Treasurer                 Acknowledged

 

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