Friends Of The Museum ApplicationForm

Life Membership

Any additional donation would be most welcome.

Life Membership (£130, approx 210US, 250Aus)

£

Title

Full Name

Address
Post Code
Tel. no. (day)
Date of birth		Age

Print out this application form, complete and return to:
Memberships, Museum Friends, Internal Fire, Castell Pridd, Tanygroes, Ceredigion, Wales, SA43 2JS
OR
Telephone: 01239 811212
and leave your name and address, stating that you would like a copy of the Friends leaflet