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 ….