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Please print out and use this Membership Application Form;

Membership Application
2010

I wish to join the Suffolk Poetry Society


Name  ____________________________________

Address __________________________________

_________________________________________

_________________________________________

Post Code________________________________

Telephone_________________________________

Email Adress______________________________


I enclose a cheque, made payable to
Suffolk Poetry Society, for:

Single Membership £12.00
Joint Membership
(two people at same address

£18.00
Young Persons Membership (under 18) £5.00
Portfolio Membership £10.00
Donation (Optional) £____
Total Payment £____

Please send this form with your payment to the treasurer:

Ivor Murrell
Windmill Hill
The Hill
Westleton
Suffolk IP17 3AW


If you require a receipt, please enclose sae.