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Surrey Industrial History Group Membership Application /
Renewal Form 2008/9 Your subscription can be augmented by
Gift Aid A form is available if you wish to
contribute: forms submitted in the past need not be renewed. |
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I wish to apply
for / renew my membership of SIHG and enclose a fee of £_________ |
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Ordinary |
Associate |
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Fees |
SyAS
Member |
Non
SyAS Member |
SyAS
Member |
Non
SyAS Member |
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Individual |
£7-00 |
£10-00 |
£2-00 |
£3-00 |
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Overseas
Individual |
£13-50 |
£15-00 |
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Institutional |
£12-00 |
Date
of Birth |
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Junior |
£5-00 |
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Overseas
Fees to be paid in Pounds Sterling please. |
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MEMBERS
ARE REQUESTED TO SUBMIT APPLICATION FORMS TO SIHG AND NOT THE |
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Name:
Member |
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Associate
Member |
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Institutional
Member (Nominated
Representative) |
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Address |
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Post Code |
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Telephone No. |
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E-mail Address |
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Members who have an e-mail address please send a
sample e-mail to the Newsletter Editor at: news@sihg.org.uk to confirm and add to
address book for Electronic Newsletter Supplement |
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Interests: |
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I would like to become active within the Group, my
special skills being: |
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Please send the complete form to David Evans, SIHG
Membership Secretary, |
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