Loughborough Naturalists’ Club
Application for Membership
DO YOU OBJECT TO THE CLUB HOLDING YOUR MEMBERSHIP RECORD ON
COMPUTER? YES/NO
I hereby apply for election as a Full Member of the Club and I agree to abide by the Club Rules.
Date _______________________
Signature of applicant ____________________________
Age (if under 18) _______________________________
Name and title as intended to appear in the list of members
Name (BLOCK CAPITALS) ________________________________________________
Full Address ________________________________________________
(including Postcode ___________________________________________
and Tel No.) ________________________________________________
Email address ________________________________________________
Special interests ________________________________________________
There are five classes of membership:-
- Full*......Open to those committed to the aims and objectives of the Club.
- Senior*........Existing members of 10 years duration and who are 60 years old may opt
for Senior membership.
- Family ........Open to the spouse or other adult member of the family of a Member
[classes (a) and (b)]
- Junior.........Open to those under the age of 18.
- Affiliated....Open to Schools, Natural History Societies or other Scientific Societies.
[* Carries voting rights]
Annual Subscription:- Full Member £10.00 Family Member £5.00
Please return this form to the Membership Secretary with your subscription. You will then be sent your Membership card etc.
Membership Secretary:- L E Hall, 47 Victoria Rd. Woodhouse Eaves, Leicester LEI2 8RF
Tel (01509)-390200. email:- led.hall@virgin.net
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