Application for Membership - The George Formby Society 
(Internet Applications) Subscriptions for 2004/2005

Full Member......................£15 --[£20 in Europe - £25 rest of the world] - Increase these rates by £1.00 if using PayPal
Nominated Family Member.....................£6

Nominated Family Member (N.F.M.) means:- Any member of the family legally related to a full member.
Overseas members may wish to use Pay Pal. If so, don't bother completing this form, just click on the PayPal button on the JOIN page.
You can email me your details. The Vellum magazine will be sent by air mail post to all overseas members.
Please indicate below, the membership category that is appropriate to you

Name______________________________________________Address_________________________________________

Address_____________________________________________________Post Code____________________

Country___________________________Telephone Number________________________

Date of Birth____________________________E-Mail Address___________________________

In order to comply with the DATA PROTECTION ACT
Do you object to the Society holding your membership on a computer? YES - NO
Information will only be used for Society business

Signature_______________________

Please send the form with your subscription payable to 'THE GEORGE FORMBY SOCIETY' to:
Peter Pollard 42 Ullswater Avenue Dewsbury West Yorkshire WF12 7PW England
Email me here

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