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Membership Application Form
Please complete in BLOCK CAPITALS
Title...................First Name(s)................................................................Surname.................................................
Address................................................................................................................................................................
..............................................................................................................................................................................
Post Code.......................................Telephone
No...................................................................................................
e-mail address ……................................................…..........................................................................................
Age ( if under 17 ).............Signed............................................................…….Date...........................................
Please return this Form to:-
Mr.
Kevin Gillibrand, Bolton Art Circle, Membership Secretary,
191
Henfold Road, Astley, Tyldesley, Manchester. M29 7FU. Telephone
No: 01942 879105
with the appropriate membership fee.
£22 Annual membership, (£5.50 from 1 Feb to 30 April
) : £30 for
Overseas membership :
£1 for Under 17's.
Alternatively, bring this Form along to one of
our weekly workshop sessions which are held at
Highfield Hall
Community Centre, Marsh Lane, Farnworth, Bolton.
on Mondays 2 - 4
,
Wednesdays 2 - 4 and Thursdays 7 - 9
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