FRIENDS of HIGH WYCOMBE LIBRARY 
MEMBERSHIP APPLICATION / RENEWAL FORM

To join the Friends of High Wycombe Libraries or to renew your subscription, please print-off this form, fill in as appropriate and with the applicable membership fee  -  Cheques payable to The Friends of High Wycombe Library  -  either take to the Membership and Information Desk on the First Floor of the Library or post to the High Wycombe Library,
5 Eden Place, Eden, High Wycombe HP11 2DH. Whether you are taking your form personally or posting it, please ensure that it is marked for the attention of Rob Andrews, Membership Secretary,The Friends of High Wycombe Library.

NAME

 

PARTNER'S NAME
IF MEMBERSHIP IS
JOINT or FAMILY

CURRENT FULL ADDRESS
incl. POST CODE

 

PHONE NUMBER

 

E-MAIL ADDRESS

MEMBERSHIP NUMBER
if known - (renewals only)

TYPE of MEMBERSHIP                                   SINGLE     /     JOINT     /     FAMILY
Please Circle


MEMBERSHIP FEES - ANNUAL                               SINGLE  £5  :   JOINT  £8  :  FAMILY £10

                                       - THREE YEARS                   SINGLE £12 :  JOINT £20 :  FAMILY £25

Cheques payable to The Friends of High Wycombe Library

If you have changed your postal or e-mail address since last paying your subscription, please write your previous address in this box :-

 

DATE

Membership fees are valid for a period of 12/36 months from the end of the month in which renewal is due

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