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Application form

 

 

 

Annual membership

Payment by cheque or postal order.

When complete please send to: 
Mr John Swingland, Hon. Membership Secretary, 
2 Gaudick Place, Eastbourne, BN20 7RQ.


Individual £10 or Joint (one address) £15       £ ________


Donation to the Society                             £ ________


TOTAL AMOUNT                                       £ ________


I enclose a cheque/postal order for the total above made payable to The Eastbourne Society.


Name _______________________________________________________


Telephone ___________________________________________________


Address _____________________________________________________                  


____________________________________________________________


Postcode ____________________________________________________


Email ______________________________________________________

 

Yes, I want The Eastbourne Society to treat all
subscriptions and donations I make from the date of
this declaration until I notify you otherwise, as Gift
Aid donations.


Date _______________________________________________________

Signature ___________________________________________________

 

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