Application form – British Matchbox Label and Bookmatch Society

I want to become a member of the BML&BS

I want to join the Society

I want to rejoin the Society

Title

Choose one, or leave blank

First Name

Last Name

Address (house number/name and street)

Town/City and County

Postcode

Country

Date of Birth (if under 16)

Use the arrows to navigate the pop-up calendar

I have paid the initial Society Membership fee which includes full payment for my first year's membership of the Society

By PayPal

By Bank Transfer

By Cheque

Telephone number (UK only)

Telephone number (mobile)

E-mail address

BML&BS Membership Number (if rejoining)

I collect

Matchbox labels

Packet labels

Bookmatches

Hardware

Other (please use Comments field below to specify)

I do not collect but I am interested in Phillumeny

I am willing to correspond with other members and undertake to respond promptly to all contacts

Yes

I have approximately this number of Matchbox labels

I have approximately this number of Bookmatches

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

I learnt about the Society from

I am able to correspond in the following languages

Any other comments