Camberwell Society membership

Membership

Membership application

Question Title

* 1. Type of membership

Household £20/year

Individual £15/year

Concession £10/year

Question Title

* 2. Name

Question Title

* 3. email

Question Title

* 4. Address

Address line 1

Address line 2

Town / county

Postcode

Question Title

* 5. Telephone

Question Title

* 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

Question Title

* 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