Membership Form

MEMBERSHIP APPLICATION FORM

Individual …………..£7.00

Family ……………… £9.50

Concession ………….£4.00

Distance member .. £4.00

Membership ApplicationForm

Name:_______________________________________________ _________

Contact Address:_______________________________________________

__________________________________________________

Post/Zip Code_ _____________________________________

Contact Tel No____________________________ _________________

Contact E mail:_____________________________________

Please return this form, with a cheque for the appropriate amount made payable to “Prestwich Heritage Society” att.

THE TREASURER,

P. & W. HERITAGE SOCIETY,

98 RECTORY GREEN

PRESTWICH

MANCHESTER

M25 1BG      UK

or pay for INDIVIDUAL membership ( £7.00) securely using Paypal button below ….