The Leeds & Liverpool Canal Society
Membership Application
| Name: |
________________________________________ |
| Address: |
________________________________________ |
|
________________________________________ |
|
________________________________________ |
|
________________________________________ |
| Postcode: |
________________________________________ |
| Telephone: |
________________________________________ |
| How can you help the Society? ________________________ |
| __________________________________________________ |
| __________________________________________________ |
Subscriptions Rates
(Please circle as appropriate)
| |
Waged |
Unwaged |
| Individual |
£5.00 |
£2.50 |
| Family |
£9.00 |
£4.50 |
| Institution |
£25.00 |
|
| Individual Life Membership |
£80.00 |
|
Please send with a cheque made payable to "Leeds and
Liverpool Canal Society" to:
Membership Secretary
Mike Hustler
10 Meadow Way
Barnoldswick
Lancashire BB18 6HP |