Worcestershire Industrial Archaeology &
Local History Society
(WIALHS)
Membership Application Form
Title_________ Surname___________________ Forename__________________________
Title_________ Surname___________________
Forename__________________________
Address_____________________________________________________________________
___________________________________________________________________________
Town/City____________________________ Postcode__________________________
Post Code______________________ Telephone No_________________________
Your email address_______________________________________
Your
particular interest:________________________________________________________
___________________________________________________________________________
Membership cost £10 per person or £18 for a couple
living at the same address.
Cheques payable to WIA&LHS.
Please print this out and send the completed
form and your subscription to:-
Mrs S. McCurdy
56 Camp Hill, Worcester. WR5
2HG
mailto:suemccurdy@yahoo.com