Wallingford & District Art Club

Membership Application Form

Print this form by selecting "Print" from the "File" menu. Complete the form and send it, with your remittance, to the Membership Secretary.

Mrs Chris Eke
5 Almshouses
Reading Road
Wallingford
Oxfordshire
OX10 9DN

The membership fee is currently £20 per year for individuals, or £30 per couple. Membership is free of charge to those under 20 years of age. The membership year runs until September 30th. New members can join at any time.

Your name:

Title .........

First Name .........................................................................

Surname ..............................................................................

Partner's name (if joining as couple):

Title .........

First Name .........................................................................

Surname ..............................................................................

Address ..............................................................................

............................................................................................

............................................................................................

Post Code ............................................................................

Telephone Number ...............................................................

Email ....................................................................................

Date .....................................................................................

Date of Birth (if under 20) .....................................................

Membership fee enclosed £...................................................

Cheques payable to "Wallingford & District Art Club" please.

This form was downloaded from www.artclub.fsworld.co.uk

Legal Copyright Notice ©2002-2006. All images of original art works displayed on this web site are Copyright ©2002-2006 of the artist of the work, as defined by the Berne Convention on Copyright, and enshrined under National and International Law. You may view the images on your computer in the context of this web site, but you may not download or use the images, or reproductions of them, for any other purpose.

Site last updated January, 2006