THE WADDELOW SOCIETY

APPLICATION FOR MEMBERSHIP
please complete in block capitals
TITLE
(Mr,Mrs, etc)

FIRST NAME

LAST NAME

ADDRESS
 
 
 
 

POSTCODE

TELEPHONE

EMAILADDRESS

 
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The Data Protection Act 1984

I understand and agree that the information above will be stored on a computer for the purpose of compiling mailing labels and membership information and will not be passed on to any other organisation without my permission.

(Any member who does not wish their details to be stored in this way must notify the treasurer in writing).

 

SIGNED:  ...........................................................................
  

DATE:     ..............................................................

Have you remembered to enclose your cheque?

print this form out and post it to:.

The Waddelow Society
Mrs. Susan F. Waterhouse - Treasurer
c/o 79 Duke of York Avenue,
Portobello, Wakefield,
West Yorkshire, WF2 7DA

                 Subscription:         UK  £10.00        Overseas  £12.50