|
Membership Application Form |
Print this form off and then
post it OR
Give all the information listed below in an email to the address below
MEMBERSHIP FORM FOR STAFFORDSHIRE HISTORY ASSOCIATION.
2007
to be posted to: Staffordshire History Association, c/o Community Council of Staffordshire, Friars Mill, Friars Terrace, Stafford ST17 4DX
Name of Club/Association/Society/Group
............................................................................................................................................................................
Where you meet
...........................................................................................................................................................................
Club/ Society CONTACT postal and email address
............................................................................................................................................................................
...........................................................................................................................................................................
Club/Society CHAIRMAN
............................................................................................................................................................................
WEB SITE ADDRESS
...........................................................................................................................................................................
Group DELEGATE to Staffordshire History Association
...........................................................................................................................................................................
..........................................................................................................................................................................
BRIEF Description of your Group's ACTIVITIES and area you cover
...........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................
PUBLICATIONS and/or details of any events you wish to be publicised on the Association's web site
..........................................................................................................................................................................
..........................................................................................................................................................................
..........................................................................................................................................................................