Stickford Local History Group

Membership Application

I/We would like to apply for membership of the Stickford Local History Group.
Please tick

Individual Membership £ 8.00

Family or two adults at the same address (one newsletter) membership. £ 14.00

I enclose cheque (payable to "Stickford Local History Group") as indicated.

Name(s): _________________________________________________________

Address: _________________________________________________________




Email: ___________________________________________________________

Telephone Number: _________________________________________________


To join the society, please print out this form, complete it,
and post it with your cheque to:

Stickford Local History Group (Membership),
Tyto Alba, Cole Lane, Stickford,
Boston, Lincolnshire PE22 8EU