Membership ApplicationTo become a member of Gillingham Local History Society and be a museum supporter please print out this form, fill it in and send it to the address below.
| Category |
Fee (£) |
 |
| Individual Membership |
12.50 |
 |
Junior Membership (under 16 or still
in full time education) |
3.00 |
|
| Life Membership |
100.00 |
|
| Overseas Membership |
12.50 |
|
| I would like to make a DONATION |
|
|
| TOTAL |
|
|
| Payment is by |
a) Cheque in Sterling [payable to Gillingham Local History Society] |
|
or |
b) Bank draft in sterling [payable to Gillingham Local History Society] |
Name(s) ..........................................................
Address ..........................................................
..................................................................
..................................................................
Postcode....................................................
Tel No ...........................................................
Email ...............................................................
Signed ...........................................................
Please send to:
Gillingham Local History Society,
Gillingham Museum,
Chantry Fields,
Gillingham, Dorset
SP8 4UA
ENGLAND
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