MEMBERSHIP APPLICATION

Mrs. Pauline Husband
Membership Secretary
The Yorkshire Heraldry Society
Ravenswood
103 Hawksworth Road
LEEDS
LS18 4JJ 5PX

Please enrol me as a member of "The Yorkshire Heraldry Society"

Title (Mr. Mrs. Ms. Etc) and Full name (capitals please)

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Address

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Post code ...................................

Telephone No ..................................

Date of Birth if you wish to give it .........................

I attach a payment for £8 for 1 years subscription

Signed ...................................................................

Date ................................