P.S. MEDWAY QUEEN

Application for Membership of the
Medway Queen Preservation Society.
Name:(Mr./Mrs./Ms/Miss)
  
Address:
  
 
Postcode
  
Tel. No.
  
Please tick which membership option.
Overseas members please add £5.00 extra for high cost of postage for four magazines, yearly, thank you.
OAP/Junior/Unwaged
(concessions) 		£10.00
Ordinary £18.00
Family £25.00
Life £225.00
Office use only
Signature Date

Gift Aid Declaration. I am a taxpayer in the UK.
Please tick box for the society to benefit. 
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Please cut along above line before sending top half to
Membership Secretary
See Gift Aid form for more information on website if needed

Cheques/ Drafts made payable to:
"Medway Queen Preservation Society".

Send to:
The Membership Secretary MQPS, Joe Stokes,
25 Hawkhurst Road, Gillingham, Kent. ME8 6NU.

Membership Fees (Renewable each July).