WREXHAM NATIONAL TRUST ASSOCIATION

MEMBERSHIP APPLICATION FORM

 PLEASE PRINT OFF AND COMPLETE THIS FORM IN BLOCK CAPITALS and return, with your annual subscription, along with an additional fee of 50p to cover administration costs, to the

Membership Secretary - Brian Davies  Lark Rise, 32 Woodridge Avenue, Marford, WREXHAM, LL12 8SU

I am/we are members of the National Trust or the National Trust for Scotland and would like to join the

Wrexham National Trust Association

Mr/Mrs/Miss/Other:______________________________________________________

Full name:______________________________________________________________

Address:_______________________________________________________________

            _______________________________________ Post Code:________________

Telephone No:______________________ Fax:_________________________________

email:__________________________Mobile Phone:_____________________________

National Trust membership number(s):_________________________________________

Subscriptions for 2009

Cheques should be made payable to "Wrexham National Trust Association"

Cheque/Postal Order enclosed for £_______

You will receive a Receipt and Handbook soon after we receive your application

In order to help us continually improve our service, would you please let us know how you heard about the Association

(delete as necessary)

           On the Internet / Posters / At a National Trust Property / Personal recommendation / Other

(please write below)  ____________________________________________________________________________________________ 

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