![]() 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........................................................... |