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SEG membership application

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MEMBERSHIP APPLICATION FORM

Please enrol me as an Ordinary */ Reduced Rate */ Family * member of the Southern Electric Group

NAME:

ADDRESS:

COUNTY (or district):

COUNTRY:

POSTCODE (or zip-code):

TEL No: #

OCCUPATION: #

AGE: (If applying for Reduced Rate)

I enclose a crossed cheque / p.o. made payable to Southern Electric Group for:-

£ __________

* which includes a voluntary donation towards preservation activities of:-

£ __________

Signature: _________________

Date: ____________

* Delete as applicable

# Please note that Information under these headings is not stored on computer files, which contain names, addresses and membership renewal details only.

MEMBERSHIP SUBSCRIPTION RATES
(Effective in the UK until 31 October 1999)

ORDINARY £11:00 (Available to all)
REDUCED RATE £9:50 (Available to full time students under age 19)
FAMILY £12:00 (Covers one member and immediate family)

OVERSEAS SUBSCRIPTIONS: Please add to your subscription £0:50 for countries within the EU; £1:50 for the rest of Europe (non EU) and £3:00 for any other countries, if taking out an overseas subscription. This to cover the extra postage costs. All remittances to be in sterling, please. Forward the completed application by letter mail to the Membership Secretary

www 12/08/98

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