Application Form
 

Title (Mr/Mrs/Ms/Miss) 

Forename(s)

Surname

Home Address

Postcode

Telephone No. (Including area code)

Email Address

Date of Birth (If under 18yrs old)

Joining fees per year

Adult membership: £20.00

Junior membership is FREE for under 18s

Subscription prices as of March 2010

Please print off this form and complete in block capitals in either blue or black ink.
Post the form to the Hon. Secretary:

MRS ANNETTE BONELLE
9 WOODEND LANE, STALYBRIDGE, CHESHIRE, SK15 2SR

Please make cheques payable to 'Stockport Art Guild'

(Reg. No. 1069 S & L Register of Friendly Societies)