THE SOCIETY OF OUR LADY OF EGMANTON

NOTTINGHAMSHIRE
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I / We ______________________________________________________________
[Revd/ Mr/ Mrs/ Ms/ Miss]

Mailing Address

House Number & Street _______________________________________________________

Town _____________________________________________

Post Code ____________

Telephone No _______________________________

E Mail Address ____________________________________________

wish to become a member of the Society of Our Lady of Egmanton and agree to promote the objects of the society.

I enclose my first subscription of _____ Pounds ( ______ )
Individual subscriptions 5 p.a., family membership 7 p.a. and Life Membership 50

Date ______________________________

 

____________________________________ Signature (s)

Cheques or Postal Orders should be CROSSED and made payable to THE SOCIETY OF OUR LADY OF EGMANTON

This form and subscription can be paid to me at any pilgrimage, or by post to me:- Mr Jeff Adams 52 Leman Street, Derby DE22 3UX 

At the moment the Society has nearly 200 members.