Site hosted by Angelfire.com: Build your free website today!

Membership form

To apply for membership, please complete and return to:

Pete Ruddock, 4 Chaucer Close, N. Petherton, Bridgwater, Somerset TA6 6RX. Telephone 01278 663559

Name………………………………………………
Years at school: 19……………

Address (for new members only or if your details have changed)
………..………………………………………………………………………………
………………..………………………………………………………………………
………………………………………………………………………………………
…………………………………………………………………………………………

Tel………………………………………………………………………………………
Email……………………………………………………………………………………

*Please delete as appropriate:

Amounts enclosed
*I enclose £4.00 to register as a member for 2001
*I enclose £7.50 for an Association tie
*I enclose £13.50 to cover the cost of the dinner Total value enclosed

Delete as appropriate

Please make cheques payable to the Dr. Morgan’s Association.