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Tewkesbury Historical Society Renewal/Enrolment |
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Subscriptions - cheques payable to Tewkesbury Historical Society
Please return this form to the Membership Secretary: Mr. Ken Flude, Beresford Lodge, Pamington, GL20 8LS. |
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I/We wish to join/renew membership to the Tewkesbury Historical Society as individual/family/ex-pat member(s) and enclose the appropriate subscription. Please complete all details to ensure records are updated. Date ............................................... Membership No. if Renewing ................................ Name/s.................................................................................... .......................................... Address.............................................................................................................................. ............................................................................................................................................ ....................................................................................... Post Code................................. Telephone.......................................................................................................................... Email.................................................................................................................................. |
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Are you engaged in research?........................................................................................... ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ |
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Local study interests:....................................................................................................... ............................................................................................................................................ ............................................................................................................................................ ............................................................................................................................................ |
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Data Protection Act: The above information will be held on our database for THS purposes only and will not be disclosed to third parties. |
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(For THS use - please leave blank) Membership Class & No. Amount In Cash/Cheque/Other
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Name........................................................................ Signed ........................................ Has Renewed/Joined THS for the 2007/8 season |