Cyclamen Society Membership Form


Membership Application Form
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Please complete this form, print it out, and mail it with your subscription/dues to: Arthur Nicholls, The Cyclamen Society 'Little Orchard', Church Road, West Kingsdown, Kent. TN15 6LG United Kingdom.
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Name:
Address:
Email Address:

I/We wish to join the Cyclamen Society and enclose a remittance for years membership

Amount enclosed:	Currency:
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Signature:	Date (ddmmyy):	.



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The Cyclamen Society's membership records are held on computer for administrative purposes, noteably the mailing of the Journal.
If the Society publishes a membership list and you do NOT want your name and address to be included, please put an X in the box:

Membership Application Form