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Membership Application Form

Print this form off and then post it OR
Give all the information listed below in an email to the address below

MEMBERSHIP FORM FOR STAFFORDSHIRE HISTORY Website

2012

     to be posted to:   Staffordshire History Website, c/o  Community Council of Staffordshire, Friars Mill, Friars Terrace, Stafford ST17 4DX   

Name of Club/Association/Society/Group

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Where you meet

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What day and time

 

Club/ Society CONTACT postal and email address

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Club/Society CHAIRMAN

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WEB SITE ADDRESS

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BRIEF Description of your Group's ACTIVITIES and area you cover

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PUBLICATIONS and/or details of any events you wish to be publicised on the Staffordshire History
 web site

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