Use the 'back' button to return.

Monumental Brass Society

 

MEMBERSHIP APPLICATION FORM

 

 

 

 

Full name (Mr/Mrs/Miss etc) 

Address 

Telephone 

Email address

 

Signature 

 

 

..............................................................

 

Date 

Date of birth (if under 18 years) 

Additional member at above address:

 

Full Name (Mr/Mrs/Miss etc)

 

This completed form together with your subscription should be returned to:

Hon Membership Secretary

Monumental Brass Society

Barlows Cottage, 2 Barlows Lane

Wilbarston, Market Harborough

Leicestershire

LE16 8QB

Click here for the Bankers Order form as a web page which can be printed.

Use the browser 'Print' button or the menu 'File .. Print' to print this web page

Copyright © 2002 Monumental Brass Society (MBS)

Page last updated 09 July 2007