| Name | ....................................................................................................................... |
| Address |
....................................................................................................................... ....................................................................................................................... ....................................................................................................................... |
| Post Code | ............................................................ |
| Telephone No. | ............................................................ |
| e-mail address | ............................................................ |
|
I wish to apply for membership of The Thoresby Society. | |
| Signed |
............................................................ |
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Please send the completed form and cheque to :- The Hon. Secretary, The Thoresby Society, Claremont, 23 Clarendon Road, Leeds, LS2 9NZ. Company Limited by Guarantee No 6649783 Registered Charity No 1126086 | |