MEMBERSHIP APPLICATION FORM (Please fill in and print out).

IMPORTANT: Please complete all sections to enable your application to be processed.

FIRST NAME (S) or preferred name
TITLE
SURNAME
ADDRESS



POSTCODE (Zip)
TELEPHONE
E-MAIL

ARE YOU?
PARTICULAR INTEREST (Animals, vases, jugs, etc.)

I wish to become a member of the SYLVAC COLLECTORS CIRCLE and enclose my subscription of £18.00* for one year. I accept that membership is discretionary.

Signature .................................

*This fee covers everyone in the family, providing that they reside at the same address. Overseas membership is £25.00

Post completed form to:- S.C.C. 174, Portsmouth Road, Horndean, Waterlooville, Hants. PO8 9HP U.K.

FOR CLUB USE

MEMBER NO.