The Teddington SocietyMEMBERSHIP APPLICATION FORM
Please printout or copy and return this form to:
Belinda Heal, 13 Broom Water, Teddington TW11 9QJ
Cheques should be made payable to The Teddington Society
Title: ___________ Surname: ________________ First Name: __________
Address and Postcode: _______________________________________________
Telephone: ___________________________________
email: ___________________________________
Rates: Individual £5, Family £7, Senior £3-00, Joint
Senior £4-00, Corporate £25.
Please tick if you are interested in any of the following:
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