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The Vale of Evesham Historical Society
Registered Charity No 1164317
Membership Application Form
I/we wish to join the Vale of Evesham Historical Society

Name 1 ...............................................

Name 2................................................

Address: ......................................................................................

            ..........................................................................................

            ..........................................................................................

Postcode  ....................

Telephone ................................     Mobile  ................................

E-mail  ..........................................

Special Interests   .................................................................

Class of Membership (please tick as required):

Individual (£12)...............Family (£18).................Life (£100) ................

Please make cheques to "Vale of Evesham Historical Society"

and send to 

Mr R F Ball

           Handgate Farm, Handgate Lane

            Church Lench

            Evesham

              WR11 4LY

We will send you information about the activities of the society including , from time to time, information sought by correspondents relevant to the aims of the society. We will also send information about other activities including those of other local historical societies and related organisations.

Please tick any or all of the positions to indicate the way(s) in which you would prefer to receive information.

E-mail .........         Post .........      Telephone ..........

Signed   .................................................................

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