Membership - the Maple Society (not including the North American Branch)

Application for Membership Outside of North America.

Please fill out the following form and send the form and payment to:

Len Speller
Membership Secretary
12 Rustens Manor Road,
Wymondham,
Norfolk
NR18 0NH
England

Please print.

Name:
Address:



Telephone:
Fax:
E-Mail:

I wish to apply for membership of the Maple Society.

Signature:
Date:

Annual Subscription Rates are as follows:

Individual:
Family:
Associate Society / College:
Corporate / Business:
Life Membership:

£ 13
£ 17
£ 13
£ 30 (includes opportunity for ad in each newsletter)
£250

Cheques should be made out to "The Maple Society" in pounds sterling but equivalent amounts in Euro notes are acceptable. Bank transfer details can be supplied if preferred.