Membership Form

Please print out this form, complete and return to:

David Weight, Membership Secretary and Treasurer, 4 Long Marsh Close, Reydon, Suffolk
IP18 6RS

Please use block capitals

Name(s) and title(s) ………………………………………………..........................

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

……………………………………………………………………………………….

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

Postcode …………………………………

Tel:………………………………………….

Email ………………………………………………….

I/we would like to join the Southwold Art Circle and enclose the sum of

£ ……………………. (£10 per person).

Cheques should be made payable to Southwold Art Circle.

It would be useful to know why you wish to join:
…………………………………………………………………………………………………….....
…………………………………………………………………………………………………….....
…………………………………………………………………………………………………….....

Date……………………………………………..

Signature(s) ……………………………………..

…………………………………………………….

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