To join Friends of Ferguson Heritage, please print out and complete this form, and send it, along with payment, to:-

Friends of Ferguson Heritage Ltd, 32 Penland Road, Haywards Heath, West Sussex RH16 1PW, UK

Please use BLOCK CAPITALS...

Name:..................................................................................... Membership No. . . . . . . . . . . . . . . . .

Address....................................................................................................................................................

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Telephone no........................................E-mail...........................@......................................(omit if you prefer)

Please enrol me as a member in the following category (tick box). Prices are in UK pounds.
Membership runs from April to March
 19.00 Family (Husband & Wife, plus children)  18.00 Ordinary (one adult)
 15.00 Junior (Under 18 yrs)  15.00 Concessionary (Over 65 yrs)
 20.00 Overseas (EEC countries) payment by credit card or Sterling Bank Draft only  
 22.00 Overseas (non EEC countries) payment by credit card or Sterling Bank Draft only  

Preferred method of payment is Direct Debit

Cheques payable to: Friends of Ferguson Heritage Ltd. (Cheques can only be accepted from within the UK)

Please charge my Visa/Mastercard  (delete as appropriate)
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Expiry date...................Exact name on card.........................................................Last 3 numbers of the Security code.........

Signed...................................................................Date...................................