MembershipF

First Name                                        Initials

Surname

Address

Area

Town

County
Post Code

E-mail

BMFA No If required:- �23 Seniors �13 Juniors LMSA No If renewal

Tel Fax

Print out and return to;         LMSA Secretary
                                          Mrs L Evans
                                          108 Oregon Close
                                           Kingswinford
                                           West Midlands
                                            DY6 8SJ

Long Mynd Soaring Association

Membership fee 2003
�3.00 payable to
Long Mynd Soaring Association