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The Wagner Society

Membership Application Form

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Click here to check again on membership information

I would like to join the Wagner Society. My details are:-

Surname:-(Pls State Dr/Mr/Mrs/Miss/Ms)
 
First Name(s):-
 
Street:-
 
Town:-
 
County:-
 
Country:-
 
Postal (Zip) Code
 
Partner's name (for joint)
 
E-mail address:
 
 
Category
Price
Please tick
Type of Membership
UK individual
£20
 
 
UK joint 
£25
 
 
Europe 
£25
 
 
Rest of World (Surface Mail) 
£25
 
 
Rest of World (Airmail) 
£40
 
 
Student
One half the above (please provide evidence of status)

Print out the form via your browser, complete it and send it together with your cheque or money order (in sterling and made payable to "The Wagner Society") to the membership secretary:-

The Membership Secretary
The Wagner Society
16 Doran Drive
Redhill
Surrey RH1 6AX
United Kingdom

e-mail: membership(at)wagnersociety.org

 



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