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Liverpool History Society Application for Membership I / We wish to join the Liverpool History Society as
an: Ordinary/ Joint / Student / Life / Corporate
Member (delete as required, please) and enclose my /our first subscription of
£................. (cash or sterling cheques, payable to "Liverpool History Society") Block Letters please
Given
name(s)...............
............Surname........................................................................ Address:................................................................................................................................. Post Town
.............................................................................
Post Code
..
...
Telephone .........................................
Email .........................................@
.....
I agree that such details as are necessary to the
proper administration of the Society may be kept in electronic form in
accordance with the Data Protection Act, 1998, and paragraph 3.4 of the Society's Constitution. Gift Aid ( Please delete if NOT applicable) I am a UK Taxpayer and want the Liverpool History
Society to treat this and, until I notify them otherwise, all future
donations that I shall make to the Society, as Gift Aid donations. Student membership applicants only: Please state age and give name of the
school or college that you are attending as a FULL-TIME student Corporate membership applicants only: Please give names of two Voting Nominees on
reverse. Special Interests (Completion of this section is
optional) My particular Liverpool Local History interests are: Signed
..
Date.............
200
. Treasurer, 55 Greenloons Drive, Formby, LIVERPOOL. L73 2LX. |
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If joining the LHS by POST or
On-LINE Copy and Paste this form into an
email and send completed to:
enquiries@liverpoolhistorysociety.org.uk or post a printed copy of the
form to the address above enclosing the correct remittance. |
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Liverpool History
Society |
