The Romany Society Membership Application Form

Subscriptions for the year are due on 1st May.
New members joining between February and April will be credited with those three months.

Individual membership	£5.00
Family membership	£9.00
Institutional or library membership	£10.00
Student, unwages, disabled membership	£3.50

I/Wish to apply for/renew membership and enclose a cheque payable to The Romany Society for £...........being my/our subscription for the year ending 30th April.

Previous number, if renewing..................

Date...............................

Signature..................................

Name(s)).........................................................
( please print clearly and indicate Mr/Mrs/Miss/Ms

Address (please print).................................................................................................

................................................................................Post Code................................

Please complete the form above and send it, with your subscription

To: The Membership Secretary
The Romany Society
c/o 62 Thornton Avenue, Macclesfield, SK11 7XL

Please enclose a stamped, self-addressed envelope at least 1/3 A4 for your membership card.

A list of members' names and address is circulated each year, to enable regional contacts to be made. Please put a tick here.................if you do not want your name to appear.
Computer input.......................
Membership card....................
Constitution.............................