ABERGAVENNY & DISTRICT CIVIC SOCIETY

2

MEMBERSHIP APPLICATION FORM

(Please print the form and complete it before returning
to the Membership Secretary)

Name:      .........................................................................................................................

Address: .........................................................................................................................

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

 (Postcode)  ............................................................................................................................                        

(Telephone) ............................................................................................................................

(e-mail)....................................................................................................................................

Please print this page complete it and post to Membership Secretary together with your cheque for £8.00 per person (address below).

Contact Details...

Contact  Membership Secretary 

Michael Foden, 
3 Lansdown Drive, 
Abergavenny  NP7 6AW

Telephone: 01873 855263.

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