MEMBERSHIP APPLICATION

P Gerard Walsh Esq.
Membership Secretary
The Yorkshire Heraldry Society
116 Old Hexthorpe, DONCASTER DN4 0DS

Please enrol me as a member of "The Yorkshire Heraldry Society"

Title (Mr. Mrs. Ms. Etc) and Full name (capitals please)

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Address

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Post code ...................................

e-mail ...................................

Telephone No ..................................

Date of Birth if you wish to give it .........................

I attach a payment for £8 for 1 years subscription or have credited the Society's bank sort code 05-04-54 account number 16968150 with that amount.

. Please cross out as required