Southwold Museum & Historical Society

Membership Application

Please print this window (by placing your cursor within it and pressing Control P). Complete the form below and post to Hilary Huckstep, Membership Secretary, Southwold Museum & Historical Society, 5 Nightingale Avenue, Reydon, Suffolk IP18 6XH, enclosing a cheque for your subscription of £10 per person, £15 for a couple, £5 for a junior under 18 (annually renewable on 1 January each year) or £100 per person (life). Please make cheque payable to Southwold Museum & Historical Society.

I/we wish to join the Southwold Museum & Historical Society

Name(s) ............................................................................................... ............................................................................................................

Address ................................................................................................ ............................................................................................................. ............................................................................................................. .............................................................................................................

Postcode...............................................................................................

Telephone...................................email....................................................

I enclose £............................... being (please delete as appropriate)

• £10 per person
• £15 per couple
• £5 per under-18
  annual subscription valid until 31 Dec
• £100 life subscription per person

I should be willing to offer help with one or more of the following (please tick):

• Stewarding in the museum
• Secretarial work
• Arranging social events
• Distributing Society literature
• Care and cataloguing of the collection

I also have the following interest or expertise which I would be happy to share

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Gift Aid
If you are a UK tax payer, financial contributions can be supplemented by a tax refund, at no cost to yourself. Simply sign the statement below to make your subscription worth even more to the Museum.
I declare that all donations that I make to the Southwold Museum and Historical Society from the date of this declaration are to be treated as ‘Gift Aid’ donations.

Signature……………………………….
Date:………………………….............