Printable Membership Application Form

Name  _____________________________________________________

Address Street   _______________________________________________________________________          _______________________________________________________________________ Town    _______________________________________________________________________ County _______________________________ Postcode  ___________________ Country (if outside UK) ________________________________

Date  ________________________

Amount Enclosed  _____________ Signature  _____________________

Subscription rates: UK £ 7.50 per annum Overseas £14.50 per annum GBP Please make cheques payable to S. Le Cocq (TSCA)