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TITLE _ _ _

FIRST NAME _ _ _ _ _ _ _ _ _ _ _ _

SURNAME _ _ _ _ _ _ _ _ _ _ _ _ _ _

ADDRESS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ADDRESS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ADDRESS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

TOWN/COUNTY _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

POSTCODE _ _ _ _ _ _ _ _ _ _ _

TELEPHONE_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

EMAIL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _



I would like to join the Neil Munro Society as a _ _ _ _ _ _ _ _ _ member

I would like to book __ place(s) for the Winter Meeting

I would like to book __ place(s) at the Annual Conference

(delete as appropriate)


I enclose a cheque for _ _ _

Please make your cheque payable to "The Neil Munro Society"

Please return this form to:


Dorothy Paterson
Treasurer
Sgiba
20 Relief Land
INVERARAY PA32 8UA

 

The Neil Munro Society will not share your contact details with any person or organisation.