Please complete, print and post this form with payment for your subscription of
  £15.00 by Cheque or Postal Order (payable to: N.A.P.S. Midland & West Section)
       for UK Single or Family Membership
  or £15.00 by Cash Sterling (i.e. GBP) for Overseas Single or Family Membership.
       Please note that a receipt will be issued for all overseas cash payments.
  (Renewable as from the 1^st of January each subsequent year
  at £15.00 for all Membership types)

to:

The Honorary Secretary,
Neil Tyers,
6 St. David's Crescent,
Coalville,
Leicestershire,
LE67 4SS
United Kingdom.

Name(s):

Address:

Post Code:

Email:

I/We apply to join the National Auricula & Primula Society,

Midland & West Section and enclose £

Signature(s):

Date: