Please print this form off and when completed send it with Cheque (payable to Algerines Association) to:

Malcolm L Griffiths
3 Meadow Drive
Cheadle
Stoke on Trent
ST10 1EQ.

Note. The subscriptions for membership run from January 1^st. If enrolment is after 1^st October Ł3 extra covers subs. for following year.

Please enrol me (tick appropriate membership) as:
FULL MEMBER Ł7
ASSOCIATE MEMBER Ł7
OVERSEAS MEMBER Ł9 (Sterling, cheques drawn on British Banks)
MEMBERSHIP for WIFE/PARTNER Ł3
FAMILY MEMBER Ł3
OVERSEAS FAMILY MEMBER Ł9
of the Algerines Association. (Note. Payment can be made for any number of years ahead)
I enclose a cheque (payable to Algerines Association) for Ł.......... for .........years membership.

NAME.

ADDRESS.

ADDRESS.

POST CODE.

Telephone Number.

Name of Algerine.

Rank/Rating whilst in Algerine.

Dates served in Algerine.

Any other information, honours etc.

Name of Wife/Partner if included.

e-mail address.
NB - In case of difficulty in currency regulations, payment may be made for future annual subscriptions by an arrangement with the Committee through the Membership Secretary.

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