London Group : Membership Application

To The Hon Treasurer:
Anthony Finney, Oak Cottage, 17 Greenhurst Lane, Oxted, Surrey RH8 0LD

PLEASE COMPLETE IN BLOCK CAPITALS

Name:

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(please state Mr/Mrs/Miss/Ms etc)

Address:

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Postcode:

....................................   Telephone: ........................................

E-mail

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I am / am not a member of the main/national Jane Austen Society.

I wish to join the London Group for

1 year

2 years

3 years

I enclose a cheque payable to The Jane Austen Society London Group for

£8

£16

£24