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SUBSCRIPTION RENEWAL (please print off this form)

Annual Subscriptions for 20014-20015  1st September 2014 - 31th August 20015

Cheques made payable to Staffordshire Industrial Archaeology Society 
can be handed in at any meeting 
or should be sent to 
         Roger Francis,
         2 The Pingle,
         Rugeley,
         Staffs WS15 2UR.
         Tel.No.01889 583796


			Individuals		£10.00
			Family			£14.00
			Institutions		£6.00
			Student			Free

Staffordshire Industrial Archaeology Society
subscription renewal

Name    	_______________________________
address 	_______________________________
               _______________________________
               _______________________________
               _______________________________
               _______________________________
Telephone No.__________________________

	I enclose a cheque for £_______
for		*Individual
		*Family
		*Institution
		*Student
	* please circle as necessary. 


To pay by Paypal (account required)
Individual membership £10.00
To pay by Paypal (account required)
Family membership £14.00


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