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Membership Application

Subscription Rates are:  Single £5.00
  Double £8.00
  Under 18    £3.00
  Youth Group Membership £10.00
  Corporate Membership £25.00



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Name:......................................................................

Title
(Mr/Mrs/Ms)..........................................................

Address:
..........................................................................................................................................................

...........................................................................................................................................................................

Post Code:.............................................................

Tel:.................................................................................

Email:......................................................................

@....................................................................................

I enclose payment of £........................................

for
single / double / junior / youth group / corporate membership
 
Please make cheques payable to 'Sonning & Sonning Eye Society' and return with this form to:


Lesley Heaney
Membership Secretary
3 Sonning Gate
Sonning
Reading
RG4 6GQ