Part 1  
Application for membership
Title    
Surname    
First name(s)    
Base Address    
'Phone    
Fax    
e-mail   
Contact address
for mailings if different from above
 
'Phone     
Fax     
e-mail    
Membership category applied for
Total amount enclosed
Individual @ £30.00
  £ ........................................
Unwaged Student/Retired @ £18.00  
Organisational @ £80.00p  
Organisational applicants only 
The individual whose details appear above will constitute the nominated main member - see Terms of Reference and Membership Categories for details