Mark Tristan Cooper 073

 

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         Title...........................                 Surname.......................................................................

 

         Forename(s)....................................................................................................................

 

         Address &

         Postcode..........................................................................................................................

 

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          Telephone...............................  Mobile..........................................................................

 

           Email address or details of an e-mail 'buddy' willing to pass on e-mails to you

                     

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          Areas of local interest...................................................................................................

 

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           Annual Membership               Double £20                     Single £10

 

           Cheques payable to  'Ninfield History Group'  and sent please  to

           Membership Secretary:   Mrs Corinne Gibbons, Sunnyside House, Church Lane,

           Ninfield TN33 9JW  (Tel: 01424 892 612) together with a completed membership

           application form.

 

             Please note: The membership data is held on computer.  The data will only be used for History

                Group mailings and for membership checking purposes.  No data from these records will be

                 disclosed to any person or organisation outside the Ninfield History Group.

           

 

      Membership Application Form