Application to join The Langley Mill Pottery Collectors' Society

Annual Subscription Rates  The Society takes pride in having one of the lowest subscription rates of any collectors' Society. All subscriptions are renewable on 1st March each year.  Joint membership is available to two members at the same address, but they qualify for only one copy of the Society's newsletter.

Please enrol me as a member of The Langley Mill Pottery Collectors' Society.   I enclose £         .
All cheques or money orders to be made payable to the Langley Mill Pottery Collectors' Society, and must be payable in pounds (Sterling), as bank charges for converting foreign monies are too high.

Title(s) and Name(s)

Address

E-mail address

Telephone Number

Signature (s)                                                                

Print the completed application form and forward with the appropriate cheque to the Society's Secretary:-
Mrs Jenifer Giblin,
64 Hands Road,
Heanor,
Derbyshire,
England,
DE75 7HB.