Names................................................................................
Address .............................................................................
            ...............................................................................

I/we* wish to join the Woking History Society

Type of membership
1/ Family at £12.00 per year   .........
2/ Single at £8.00 per year    .........         please tick one

I/we* agree that My/our names and address may be recorded by the Society in a computer system for exclusive use as determined from time to time by the Committee and within terms of exemption 5 of the Data Protection Act, 1984

My/our* interests are ......................................................................
......................................................................................................
......................................................................................................

Date .....................
Signed ................................

To be sent to: Mr Geoffrey Mihell
Brambletye,

The Ridgeway,

Horsell,

Woking,

GU21 4QP

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