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APPLICATION FOR INSTITUTIONAL MEMBERSHIP
This form is intended for use by societies, libraries and other institutions. All other applicants should please download the separate, Personal Membership Application Form
Categories of membership and subscriptions
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Corporate or Institutional Members |
£19.50 |
|
Affiliated Local Societies |
£15.00 |
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Affiliated Schools |
£10.00 |
Please enroll this organisation as a Corporate/Affiliated Local Society/Schools (delete as appropriate) Member of the London and Middlesex Archaeological Society.
Details about your organisation
(please complete in Block Capitals)|
Name of organisation |
________________________________________ |
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Address for correspondence |
________________________________________ ________________________________________ Post/Zip code |
__________________ __________________ __________________ |
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Name of representative |
________________________________________ |
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Position held |
________________________________________ |
Declaration under the Data Protection Act.
I consent to this personal data being held on computer, on the understanding that it will be used solely by the Society and will not be divulged to any other person or organisation.
Please tick here: ______
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Signed |
__________________________________ |
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Date |
__________________________________ |
Registration
Please return this form, together with £ ______ (enter amount) in payment of your first year’s subscription to:
Hon. Membership Secretary
London & Middlesex Archaeological Society
c/o The Museum of London
150 London Wall
LONDON
EC2Y 5HN
Cheques/Postal Orders/International Money Orders in Pounds Sterling ONLY please, made payable to The London and Middlesex Archaeological Society
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