Membership Form

Yelverton & District Local History Society

Membership Form 2025
Type of Membership

NewRenewal
Annual Membership Fee(s). Membership runs from 1st Jan to 31st Dec.

£10 single£20 dualOther
Name(s)*

First NameLast Name
Address*

House Name or Number

Street

Village/Town/City

Post Code
E-mail*
Phone Number
Any additional information, suggestions for talks, visits and offers of help:
General Data Protection Regulation 2016: Please understand that by supplying your details above you are providing us with your consent for sending you occasional information regarding the Society’s events. On NO account will your details be disclosed to third parties.

BACS payment preferred
Acc Name; Y&DLHS
Sort Code; 09-01-29
Acc No. 66992839
Should be Empty:

Yelverton & District Local History Society