Worcestershire Industrial Archaeology &
Local History Society
(WIALHS)

Membership Application Form

Title_________Surname___________________Forename______________________

Address_____________________________________________________________
 

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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:-
Miss Jacky Hollis / Membership Secretary:
57 Sandys Road, Barbourne,
Worcester. WR1 3HE