Membership Application

I would like to join the Cumbria Industrial History Society

I understand that, unless I give permission, my name and address will be held on a computer solely for the purpose of printing address labels.

Name ..........................................................................................................................................................................................................

Address ......................................................................................................................................................................................................

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

Postcode .................................................................

I can also be contacted by           

Phone Number (optional) ..........................................................................................

E-mail Address (optional) .........................................................................................

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

Special Interest (optional) .......................................................................................................................................................................

Annual Subscriptions:       Single £7.50       Joint £10.00 (more than one person at the same address) 
Cheques payable to CIHS

Please return to:   CIHS Membership Secretary, 4 Barnes Cottages, Back Lane, Preesall, Poulton-le-Fylde, Lancashire, FY6 0HT.
Or contact mbarb@freenetname.co.uk for more information. We look forward to hearing from you.