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Eastbourne Local History Society
Eastbourne Local History Society

www.eastbournehistory.org.uk

MEMBERSHIP FORM

Members' details will be processed fairly and lawfully and in accordance with the Society's legitimate activities.
TITLE

FIRST NAME (or name you like to be known by)

SURNAME

ADDRESS





POSTCODE
TELEPHONE NUMBER

EMAIL ADDRESS

SIGNATURE

DATE


SUBSCRIPTION RATES, per annum (membership is renewable on 1 January annually):

Single membership £12.00
Joint membership (2 people at the same address, sharing one copy of the journal) £18.00

Please , fill in this form and return it to the Membership Secretary (see below) with a cheque payable to:
Eastbourne Local History Society.
Miss D. Guthrie
5 Arden Mead
4 Staveley Road
Eastbourne
East Sussex
BN20 7LH
Tel: ( 01323 419181 )

GIFT AID
By completing this section your subscription will be worth more to us at no extra cost to yourself.

Please tick this box if you would like the Eastbourne Local History Society to treat the above and all future subscriptions and donations as Gift Aid Donations. To qualify for Gift Aid the amount you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year. Please notify us if in future you no longer pay sufficient tax or want to cancel this declaration.

SIGNATURE

DATE



Registered Charity No 283924