Application Form

Name.............................................................................................................

Address..........................................................................................................

.......................................................................................................................

................................................................................. Postcode........................

Telephone number..........................................................................................

Email address.................................................................................................

TITLE (Mr, Mrs, etc)..............................................................................

I wish to become an:         Ordinary Member (£5)                 Family Member (£7.50)   *

of the Society (*delete where inapplicable)

Society Member who introduced you (if applicable) ……………………………………………………………

I am interested in (please tick)

                         Archaeology   
                         Natural History Local History 
                         Historic Buildings

My special interests are..........................................................................

............................................................................................................

............................................................................................................

SIGNED ..................................................................

DATE......................................................................

This form should be sent with a full year’s subscription (or Banker’s Order Form) to:

Mrs Dawn Bonham (Membership Secretary), Glastonbury Antiquarian Society, 53 Hill Head, GLASTONBURY, BA6 8AW 
 
Membership subscriptions are due on 1st September each year.

Membership will give you: 
-    Entrance to the Lake Village Museum in The Tribunal, Glastonbury
-    Use of the Society’s library at Glastonbury Public Library by prior arrangement with the Society’s Librarian David Orchard
-    Access to all of the events and activities in the Society's Programme.