Name:...................................................................... |
Title (Mr/Mrs/Ms).......................................................... |
Address:.......................................................................................................................................................... |
........................................................................................................................................................................... |
Post Code:............................................................. |
Tel:................................................................................. |
Email:...................................................................... |
@.................................................................................... |
I enclose payment of £........................................ |
for |
| single / double / junior / youth group
/ corporate membership |
| Please make cheques payable to 'Sonning & Sonning
Eye Society' and return with this form to: |
Mrs Carole Barnett
Membership Secretary
Hill Cottage
Thames Street
Sonning
Reading
RG4 6UR
|
