Camberwell Society membership (new)

Membership

Membership application

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* 1. Type of membership

Household £20/year

Individual £15/year

Concession £10/year

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* 2. Name

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* 3. email

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* 4. Address

Address line 1

Address line 2

Town / county

Postcode

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* 5. Telephone

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* 6. If you are applying for household membership, please enter the names of other people in
your household aged 16 or over (up to 4)

1

2

3

4

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* 7. The Society welcomes involvement from members, from sitting at a stall to sitting on
committees. If you would like us to contact you about this, please tick here:

Yes

No