Membership Form

To join the Society please copy or print this entire page and send it, with a cheque, to:

Sally McGrath, Bournemouth Civic Society Membership Secretary,
Flat 4, 6 Cavendish Road,  Bournemouth, BH1 1RD

 

Annual subscriptions:

Family: £18
Under 18 & Student: £5
Couple under 60: £18
Individual under 60: £12
Individual over 60: £9
Couple over 60: £12
Corporate: £25

(please tick or circle appropriate category)

I enclose a cheque payable to Bournemouth Civic Society for £

 

     

    

Signed:

     

Dated:

     

Name(s):

     

Address:

     

     

 

Postcode:

     

Tel:

     

Email:

     

 

Subscription renewal date: 1st January, annually