Staffordshire Industrial Archaeology Society 

SUBSCRIPTION RENEWAL (please print off this form)

Annual Subscriptions for 2006-2007  1st September 2009 - 31th August 20010

Cheques made payable to Staffordshire Industrial Archæology Society 
can be handed in at any meeting 
or should be sent to 
Jim Causer 
31, the Laurels,
Rugeley 
Staffs WS15 1BE
Tel: 01889 570 901

			Individuals		£10.00
			Family			£14.00
			Institutions		£ 6.00
			Student			Free

Staffordshire Industrial Archæology 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