Please print a copy of this form. You can press Ctrl + P or use your printer button

The Franco-British Society Registered Charity No 214096 APPLICATION for MEMBERSHIP

Name........................................................ Address.................................................... ................................................................. Telephone (Home).................................... Email........................................................ Mother Tongue..........................................	Title......................................................... ................................................................ Post Code................................................. Telephone (Business)............................... Mobile..................................................... Occupation..............................................
Enclosed is a cheque for £................ (payable to 'Franco-British Society') being the amount due until 1st February next year. Also enclosed is a Direct Debit instruction to become effective from 1st February next year.
Signature....................................................	Date........................................................
Please post your cheque, Direct Debit instruction and (if applicable) your Gift Aid form to: The Executive Secretary Franco-British Society 3 Dovedale Studios 465 Battersea Park Road London SW11 4LR