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Form updated 2008-02-02

MEMBERSHIP APPLICATION FOR

BRITISH MATCHBOX LABEL AND BOOKLET SOCIETY (BML&BS)

To the Committee,

I wish to apply to {join}{rejoin} the BML&BS and agree to abide by its Rules.

   {Delete as applicable} Please use BLOCK CAPITALS throughout.

Surname ______________________________________________ Title {Mr}{Mrs}{Miss}{Ms}{________}

Forenames ________________________________________________________________________________

Address __________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Telephone No. _________________________________ {Include in}{Exclude from} Membership List

E-mail Address ________________________________ {Include in}{Exclude from} Membership List

The following information is requested so that an idea of each member's interests can be included in the Membership List.

I collect {matchbox labels} {skillets} {dozen packet labels} {gross packet labels} {matchboxes} {matchbook covers} {matchbooks} {match holders} {matchbox holders}

I have approximately _______________ matchbox labels and _______________ matchbook covers.

I specialise in ________________________________________ (e.g. type, country, theme, etc.)

Do you agree to exchange with other members by mail and undertake to respond promptly to all letters received? {Yes}{No}. We can only indicate you will exchange by mail in the Membership List if you select {Yes}.

I am able to correspond in the following languages _______________________________________

I learned about the Society from _________________________________________________________

Annual subscription is £12(GBP) / €20(EUR) / $25(USD).

Match Label News is sent free to all members by surface mail. The extra annual charge for sending you Match Label News by airmail is £5(GBP) / €10(EUR) / $10(USD).

Do you want Match Label News sent by airmail? {Yes}{No}

I enclose {cheque} {Money Order} {British Postal Order}

{British bank notes} {Euro notes} {US dollar bills} Cash is sent at your risk.

for total of {£12(GBP)} {£15(GBP)} {€20(EUR)} {$25(USD)}

with airmail {£17(GBP)} {£20(GBP)} {€25(EUR)} {$36(USD)}

Please make cheques, money orders and British Postal Orders payable to: BML&BS.

Cheques (checks) must be drawn on a British Bank and must be in British Pounds.

I understand that information from this form will be stored by the BML&BS.

Signed ___________________________________________________ Date __________________________

Please send completed form and payment to BML&BS Membership Secretary:

122 High Street, Melbourn, Cambridgeshire, SG8 6AL, United Kingdom.