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LBAS Membership Application/Renewal Form
1 August 2008 to 31 July 2009
Membership is open to everyone over the age of 16 years.
If you need further information click . Membership
or send email (typing 'Membership' on subject line) or call 01525 374479
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SURNAME __________________________ [for office use: Date . . . . . . . . . Membership No. . . . .]
TITLE ______________________________ If you wish to join LBAS, copy or print the form.
INITIALS ___________________________ Complete it & send it with your cheque
FIRST NAME _______________________ (made out to LBAS) to: LBAS Membership,
ADDRESS (house No./name)_____________10 Dukes Ride, Leighton Buzzard, Beds., LU7 3JS
ADDRESS (street)____________________ (Write notes / comments to me in space below)
ADDRESS __________________________
ADDRESS (town)_____________________
ADDRESS (county)___________________
POST CODE ________________________
TEL. NO. ______________________ Fax/Mobile ___________________________
E-MAIL:______________________________ if any.
Subscription Full membership £15 . .
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It is convenient for me to keep your information on my computer .
The stored information will not be allowed out of Art Society circles.
If you object to this, please telephone 01525 374479
or send an email (typing 'Membership' on the subject line)