Friends Of The Museum ApplicationForm

Family Membership

Any additional donation would be most welcome.

Family Membership (£44)

£

Title	Full Name
Additional member(s)
	(full name)
	(full name)
	(full name)
	(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