Staffordshire Industrial Archaeology Society 

SUBSCRIPTION RENEWAL (please print off this form)

Annual Subscriptions for 20012-20013  1st September 2012 - 31th August 20013

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

		Staffordshire Industrial Archaeology Society