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Institutional Membership Application Form

Please type directly into the boxes and then print the page; or print the page first and then fill in the boxes by hand IN CAPITALS

Name of Institution:
Person and/or Department
to which mailings should be sent:

Address:



URL:
email address:

I enclose a cheque for £
(Please add the equivalent of £7 if you are not paying in sterling)
Please send me a receipt
Please send me an invoice
Please send me a Standing Order form
(Check a box if applicable)
Send the form and payment
(cheques should be made payable to 'AMARC')
to:

Dr Michael Stansfield
AMARC Treasurer
University Library
Archives and Special Collections
Palace Green
Durham DH1 3RN