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PLEASE PRINT THIS PAGE, COMPLETE AND POST WITH PAYMENT AS DETAILED BELOW
THE SHACKLETON ASSOCIATION
Membership Application Form
The information you supply is for the Association Records and is accessible without contact details only to fellow members on circulation of the membership list.
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Surname |
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Mr. Mrs. Ms |
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Address |
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Post Code |
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Country |
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Telephone |
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Email |
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| Service Occupation |
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| Years from/To |
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| Christian Names |
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| Nickname |
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Annual Membership Fees
(Membership Year starts 1st February)
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U.K. Member |
£12.50 |
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Joint Membership |
£14.00 |
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Overseas Membership |
£15.00 |
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Part Year (September onwards) |
Half Price |
When completed this form should be sent together with your subscription to -
FAO~ the Membership Secretary
The Shackleton Association
20 Fairmead Close
Sandhurst Berks GU47 0QY
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