back

Chorley Historical and Archaeological Society

Membership Application Form.

Chorley Historical and Archaeological Society
Membership Application Form.

Name: __________________________________________________

Address: 
Line_1:____________________________________________________________________

Line_2:____________________________________________________________________

Line_3:____________________________________________________________________
Line_4:____________________________________________________________________

Postcode: ___________________________

Tel No: ______________________________

Email: ________________________________________________________________

Membership runs from September to August.
The membership subscription is £7.50 for individuals, £10 for couples.
(Half subscriptions are available if joining mid membership year or later.)
Please return this form, with a cheque made payable to
“Chorley Historical and Archaeological Society” to:

John Harrison
Treasurer
Chorley Historical and Archaeological Society
12, Epsom Close,
Great Knowley,
Chorley.
Lancashire.
PR6 8TS

http://www.chorleyhistorysociety.co.uk/