Membership Application Form for the Mark Rutherford Society

I would like to join the Mark Rutherford Society and be kept informed of meetings and activities of the Society.

Name................................................................................................................

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

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

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

Tel. number.................................................

E-mail .............................................

Please return the completed form with the cheque to:

Any other donations to help with start up costs would be gratefully received.

The Mark Rutherford Society, 23 Addington Close, Bedford MK41 9SP