Membership Form

The Annual Subscription is £15 Sterling (United Kingdom only), 
£20 Sterling (Outside the United Kingdom) paid at or to a
British bank, due on the first day of September.

I wish to apply for membership of the Inn Sign Society.

I hereby enclose a cheque/postal order to the value of £______
to cover the cost of my first subscription.

The records of the Society are held on computer so that a membership
list can be circulated to members only. If you do not wish your
details to be stored on disk please advise the Membership Secretary
when applying.

Please complete in block letters:


Name: _____________________________________________

 
Address: _____________________________________________

 
_____________________________________________

 
_____________________________________________

 
Country: _____________________________________________

 
Postcode/Zip Code: _____________________________________________

 
Tel: _____________________________________________


E-mail address: _____________________________________________

Signed: _____________________________________________

 
Date: _____________________________________________ 

Return to:

Membership Secretary
Mrs Carol A Rose
9 Denmead Drive
Wednesfield
Wolverhampton
(United Kingdom)
WV11 2QS