Costume Society Membership Form
Please fill in the form and print off the results.
Return the completed form to:
Pat Poppy The Costume Society Membership Secretary
56 Wareham Road
Lytchett Matravers
POOLE
Dorset
BH16 6DS
Email:
Title:
Mr/Mrs/Ms..
First Name:
Surname:
Address Line 1:
Address Line 2:
Town
County or State:
Postcode:
Country:
Telephone:
Mobile:
Gift Aid: I am a UK tax payer and would like The Costume Society to reclaim the tax on any qualifying donations or subscriptions that I make. I confirm that I have paid an amount of UK income or capital gains tax equal to any tax reclaimed.
Please Tick to agree.
Membership fees:
Please select the type of membership you require.
Applying for Student Membership, Please Insert your:
If you live outside the EC and would like your Journals and Newsletters to be sent air mail, pick the air mail option below.
UK Individual £24.00
Overseas Individual £26.00
Individual Air £29.50
UK Student £12.00
Overseas Student £14.00
Student Air £17.50
You have selected:
Indicate your interests in costume by ticking the appropriate boxes below.
Status: Which Catagories and Era's interest you
Academic
Curator
Enthusiast
Collector
Other
Menswear
Womenswear
Childrenswear
Construction
Pre C14th
C14th
C15th
C16th
C17th
C18th
C19th
C20th
C21st
Please state whether you agree to your name being published in a membership directory:
Agree
Disagree
Please update before printing the results.
Please use the print button and Return this completed form to:
Pat Poppy
The Costume Society Membership Secretary
56: Wareham Road
Lytchett Matravers
POOLE
Dorset
BH16 6DS
£
Other
Course Title
Institution
Membership Directory: