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Personal 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

Title
Forenames/Initials
Surname


Address:



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)
Cheques should be made payable to 'AMARC';
please mail the completed form and payment to:




Dr Michael Stansfield
AMARC Treasurer
University Library
Archives and Special Collections
Palace Green
Durham DH1 3RN
How did you find out about AMARC? By word of mouth
From the website
From the newsletter
From an AMARC or AMARC-sponsored conference
Other; please specify: