Costume Society Membership Form

Please fill in the form and print off the results.
Return the completed form to:
Pat Poppy The Costume Society Membership Secretary
56 Wareham Road
Lytchett Matravers
POOLE
Dorset
BH16 6DS

Email:
Title: Mr/Mrs/Ms..
First Name:
Surname:
House Name or No:
Address Line 1:
Address Line 2:
Address Line 3
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Postcode:
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Telephone:
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.

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Indicate your interests in costume by ticking the appropriate boxes below.
Status:                   Which Catagories and Era's interest you


Please state whether you agree to your name being published in a membership directory:
Please update before printing the results.
Return the completed form to:
Pat Poppy
The Costume Society Membership Secretary
56: Wareham Road
Lytchett Matravers
POOLE
Dorset
BH16 6DS











 £

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