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 apply for election as Member of the Society and I understand that this application will be considered by the Society’s Committee at it’s next meeting.

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 
 
Upon receipt the Secretary will advise you of the date on which the Committee will consider your application.
 
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.