Membership Application Form

Title:..............................................................

First name: ....................................................................

Surname: .......................................................................

Address:.........................................................................

......................................................................................

Postcode: ....................................

Tel: .............................................

Email: .........................................

I apply to join the Radley History Club.

Signed:

Annual subscription: £10 (due 1 October)

Date ………………………


Please print off and fill in this form. When completed, please send to Mrs Joyce Huddleston, Membership Secretary, Radley History Club, 4 St James Road, Radley, Abingdon, Oxfordshire OX14 3AQ with a cheque for £10 made out to 'Radley History Club'.

The Data Protection Act 1998: The Club will keep members’ names and addresses in computerised form. The list will only be used for Radley History Club purposes. If you do not want your details to be included on the list, please inform the Club in writing.