Please print out and return this form (or the pdf version attached below)

The Society is a registered charity: no 272098

Categories of membership and subscriptions
Ordinary members £25.00
Associate members £2.00
Institutional members : UK £30.00, Overseas £40.00
Junior members (over 16 and under 21 years) £6.00 (date of birth: __________________ )

Student members (over 21 and under 26 years) £12.50 (date of birth: _________________ )

Please enrol me as an Ordinary/Associate/Junior/Student member/this organisation as an Institutional member/of the Surrey Archaeological Society.

Name (Mr/Mrs/Miss/Ms etc) __________________________________________________________

Postal address _____________________________________________________________________

_________________________________________________________________________________

______________________________________ Postcode/Zip code ___________________________

Email ____________________________________________________________________________

Interests __________________________________________________________________________

I/we consent to this personal data being held on computer, on the understanding that it will be used solely by the Society and will not be divulged to any other person or organisation.
I/we agree to be bound by the Society's Memorandum and Articles of Association (attached below).

Signed _______________________________________  Date _____________________________

Please return this form together with a cheque or postal order for the subscription and any entry fee (made payable to: Surrey Archaeological Society) to:

The Membership Secretary, Surrey Archaeological Society, Castle Arch, Guildford GU1 3SX