Join us

Membership Application Form

I wish to join the Fulham and Hammersmith Historical Society and enclose
my subscription for the year commencing 1st January.

Subscription Rates

* £8.00 – Full rate

* £5.00 – OAPs and full time students

* Please delete as appropriate, complete the form below (type or BLOCK
CAPITALS please) and send it with your cheque, payable to the Fulham and
Hammersmith Historical Society, to:-

Jo Brock
Flat 12/43 Peterborough Road,
London SW6 3BT.

Please send an SAE if a receipt if required.

Name

 

Address

 

Postcode

 

Telephone Number

 

Signed

 

Date

 

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