To:- Menna H Evans, Hon.Secretary, Cardiganshire FHS, Adran Casgliadau, c/o National Library of Wales, Aberystwyth, Ceredigion, SY23 3BU, Wales, UK.

I/we wish to apply for membership of the society

 Name/s (surname last) [BLOCK CAPS please]
.............................................................................................................Mr/Mrs/Ms/Dr
Address
...............................................................................................................................
..............................................................................................................................
...................................................................
Post/Zip code..............................
Email Address (if any).................................................................
Please indicate your level of experience -
Beginner/Average/Experienced (delete as appropriate)
N.B. Membership details given on application forms will not be divulged to third parties under any circumstances except when required by law.

TYPE OF MEMBERSHIP

(please tick as appropriate)
Individual (UK & EU residents only),subscription.............................£8.00 p.a.
Family (husband,wife and non-adult children at same address...........£10.00 p.a.
Overseas residents (other than EU)...................................................£11.00 p.a.
UK Institutions (with options for extra Journals @ £4.00 p.set).......£8.00 p.a. minimum
Student (under 25 and in fulltime education).....................................£6.00 p.a.
Overseas Institutions - please advise requirements.
N.B. The membership year runs from 1st January to 31st December.

I/we enclose the appropriate payment of. £...............................
(Sterling only,cheques,etc.payable to "Cardiganshire FHS")

Signed...............................................................................Date...............................

 ________________________________________________________________
For Society Administration only IN/0197
MEMBERSHIP NUMBER(S) ALLOCATED
.........................................
SUBSCRIPTION BY CHEQUE/CASH/POSTAL ORDER
PASSED TO TREASURER ON .................................
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