Membership Application

Kindly complete (using your keyboard), print and sign the form below.

Name

Address



Postcode

Telephone

Email address

Years at School from to
House at School
Atwell Hunt Knott Sebastian
Current occupation

I wish to join The Old Skinners' Society as a Full Member and enclose
a standing order mandate for my subscriptions

I wish to join The Old Skinners' Society under the Initial Payment Scheme and enclose
a cheque for £10.00 payable to Old Skinners' Society
£10.00 cash


Signed

Dated

Send with your mandate, cheque or cash to:-

Tony Holding
11 Smythe Close
Southborough
Tunbridge Wells
TN4 0TY

Date application acknowledged

Date elected