Membership Form

Please print, complete and return this membership form
Please enrol me as a member of The Vauxhall Society. I enclose a cheque or Postal Order made payable to THE VAUXHALL SOCIETY for

Ordinary Member:
- One year �3.00
- Five years �13.00 (If you are an Income Tax payer, please sign a Deed of Covenant so that the Society can claim a refund of your tax forms are available on request.)
Child, student or Senior Citizen: �1.50
Affiliated Association: �5.00

NAME .............................................

ADDRESS ..........................................

..................................................

POSTCODE .................. DATE: ................

TELEPHONE No: ....................................

EMAIL: ...........................................

After completion send this form and subscription to : The Secretary,
Jim Nicolson,
20 Albert Square,
LONDON SWB 1BS
(A receipt will be sent only if requested)

If you would like to take an active part in the work of the Society, please complete the following:

Details of any technical or professional expertise or special interests:

.......................................................

.......................................................

I am willing to help with the following:	I would like to join working group(s):
Drawing & Map-making Exhibition layout Lectures Legal advice Letter-writing Local History Minutes of meetings Newsletter delivery Photography Planning watch Publicity Research Social events Typing Website	Planning and Traffic Local History Publications Programme Website