![]() Telephone (UK) 01691 671649 |
A Registered Charity Oswald Road, Oswestry, Shropshire SY11 1RE Life President, Cyril Mottram |
![]() |
Ordinary..................................................... | Junior/Concession.............................................................. |
Family........................................................ | Life Member...................................................................... |
Total Enclosed £ € $ ......................... | Occupation .......................................................... |
Name.................................................... | Date of Birth (Junior Member) ................ |
Address......................................................................................................................................................... |
....................................................................................................................................................................... |
Signed.......................................................... | Date........................................................... |