Last modified:4th February, 2002
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Membership Application for The Sheila Kaye-Smith Society

Surname ...................................................................................

Mr/Mrs/Ms/Miss ...................................................................

Forename(s) ............................................................................

Address.......................................................................................................................

..........................................................................................................................................

Postcode:.................................................Telephone No...................................................

I enclose my remittance of £6...... for individual/or £9...... for joint membership.

Signed:..........................................................

Date:............................................................

Please send to:

To Mr. T. Churcher,
Hon. Membership Secretary,
Silverden Oast
Church Lane
Northiam Rye
East Sussex TN31 6NW