Costume Society Membership Form:
Title:
Mr/Mrs/Ms..
First Name:
First Name Required
Surname:
Surame Required
House Name or No:
Address Line 1:
Address Required
Address Line 2:
Address Line 3
County/Town or State:
Town/County or State Required
Postcode:
Post/zip code Required
Country:
Required Field
Telephone:
Required Field
Mobile:
Membership fees:
Please select the type of membership you require.
Applying for Student Membership, Please Insert your:
If you live outside the EC and would like your Journals and Newsletters to be sent air mail, pick the air mail option below.
Please Check a box
UK Individual £24.00
Overseas Individual £26.00
Individual Air £29.50
UK Student £12.00
Overseas Student £14.00
Student Air £17.50
You have selected: