Northamptonshire Record Society

Application Form for Tickets to the Autumn Lecture

Please complete the form.  Print and send it with your remittance and a stamped addressed envelope to the Secretary.

Please send me/us:

  free tickets for members
  tickets for guests at £2.00 per person
  tickets for tea and biscuits at £2.00 per person.
   
  Please note: Institutional members may send up to 4 representatives.
   
  I enclose remittance of:  £   and a stamped addresses envelope.
 

Please make your cheque for the above amount payable to:

Northamptonshire Record Society
   
Name:
Signature: .........................................................................................
Date:
   
 
   
  The Secretary,
Northamptonshire Record Society, Wootton Hall Park, Northampton NN4 8BQ.