Application for membership

Applications for membership can either be made in hard copy by completing the form below, or on-line. Payments on-line can be accepted in Sterling, US and Canadian dollars, Euros or Yen. All hard copy payments must be in Sterling. For the benefits of membership visit the Cromwell Association page. Please note that the subscription year starts 3^rd September.

Members joining after 1st June each year will be in membership until 2nd September in the following year. The subscription will include the journal Cromwelliana for the following year. New members will be able to purchase the current years Cromwelliana, and back numbers, at a special member’s price.

For hard copy payments please continue

(Please complete in BLOCK CAPITALS and delete as appropriate)

Name…………………………………………………………Sir/Rev/Dr/Mr/Mrs/Miss/Ms

Address…………………………………………………………………………........................................................……………

………………………………………………………….........................… Post Code…………..............……………

Name(s) of additional member(s) at the same address (see below * )

……………………………………………………………

……………………………………………………………
( * journal and newsletter sent to fully paid up member only)

Please indicate membership level
…… adult annual subscription (UK member) (£20)
…… adult annual subscription (non-UK member) (£25)
…… additional member(s) at the same address as the adult annual subscriber (£5 each)
…… under-23 annual subscription (£10) (date of birth………………)

I enclose cheque/postal order for £….....… payable to ‘The Cromwell Association’
(overseas subscribers please remit in pounds sterling)

Signed………………………………………………………Date……………………

Please return this form with your payment to:

Gary Barker
190 Cemetery Road
Scunthorpe
DN16 1NU