Membership Form
Please print out this form, complete and return to:
Barry Hughes, (Membership Secretary), 17 Mill Lane, Wrentham, Suffolk, NR34 4JQ
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
£ ……………………. (£12 per person).
Cheques should be made payable to Southwold Art Circle.
Or Bank transfer to sort code 30-13-64, a/c no. 00451693 with your surname as reference
It would be useful to know
why you wish to join:
…………………………………………………………………………………………………….....
…………………………………………………………………………………………………….....
…………………………………………………………………………………………………….....
Date……………………………………………..
Signature(s) ……………………………………..
…………………………………………………….