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Membership Application Form - Please print, fill out and post to the address below. |
| NAME |
| ADDRESS |
| TELEPHONE / MOBILE |
| DO YOU HAVE ANY BRITANNIA RELATED HISTORY / EXPERIENCE? |
| MEMBERSHIP FEE SUBSCRIBED TO: |
| ANNUAL MEMBERSHIP £5.00 |
| LIFE MEMBERSHIP £50.00 |
| VOLUNTARY DONATION £ |
| TOTAL RECEIVED £ |
| DATE |
| SIGNED |
| ARE YOU ABLE TO GIVE PRACTICAL ASSISTANCE TO THE RESTORATION? |
Subscriptions payable to: BRISTOL BRITANNIA XM496 PRESERVATION SOCIETYMembership Secretary: Derek Smith, 27 Brimble Hill, Swindon, Wilts. SN4 0RQ Tel: 01793 814 745 - Email: [email protected] |
BRISTOL
BRITANNIA XM496 PRESERVATION SOCIETY