NATIONAL AURICULA & PRIMULA SOCIETY
MIDLAND & WEST SECTION

Application for Membership


Please complete, print and post this form with payment for your subscription of
  8.00 by Cheque or Postal Order (payable to: N.A.P.S. Midland & West Section)
       for UK Single or Family Membership
  or 10.00 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 1st of January each subsequent year
  at 8.00 UK Single or Family Membership or 10.00 Overseas Membership)

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: