Postal Microscopical Society
Application for membership.
Please complete the form below, using BLOCK CAPITALS, and return it , with the appropriate fee to the Secretary;
Mr M Samworth, 6 Moorfield Bungalows, Scotton, Catterick Garrison, North Yorkshire DL9 3ND.
Surname: Age (if under 21):
Postcode: Telephone No. and code;
Occupation and Microscopical experience: (optional)
I wish to apply for off-circuit membership/on-circuit membership (delete as appropriate).
I agree to the above information being kept on electronic datafile, for use only within the Postal Microscopical Society.
I agree to abide by the rules of the society.
Applicants less than 18 years old must have this form checked and signed by a parent or guardian, who agrees to full
responsibility for property whilst in the hands of the above applicant.