Membership Application 2017

Name *
Name
Date served on board from
Date served on board from
Date served on board to
Date served on board to

Associate Membership Application 2017

Name *
Name

New Membership fees are £10 until December 31st 2017

Bank Details: Account No. 471795 : Sort Code 30-91-12.

Please make all cheques payable to:

The HMS JUPITER ASSOCIATION and send to the Treasurer: -

Mr. B. Holland

The HMS Jupiter Association

119 Bradford Road

Riddlesden

Keighley

W. Yorks.

BD20 5JH