Print this page, complete the form in BLOCK CAPITALS and send it to Jill Bryant, Warren Mews, Barton Road, Bramley, GU5 0EB with a cheque made payable to Bramley History Society for the appropriate amount.
| Name(s) | |||
| Address | |||
| Post Code | Telephone | ||
| Special Interests | |||
| Indicate the type of membership you are applying for. | Life | £10.00 | |
| Life 2nd person same household | £5.00 | ||
| Pensioner | £5.00 | ||
| Annual | £2.00 | ||
| The 'Record' is delivered free by hand only to addresses in the village, prices for other areas are as shown. | Local | Free | |
| UK | TBA | ||
| Overseas | TBA | ||
Total amount enclosed £ | |||