membership-form

(Please print out this form and send it together with your membership subscription, Thank you)

Application for membership of
The Chiltern Orchid Society

Name(s)......................................................................................................

.....................................................................................................................

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

.....................................................................................................................

Postcode...........................................................................

Tel No...............................................................................
(for members only if wished)

E-Mail...............................................................................
(for members only if wished)

Current Annual Subscription Rates:Single=£15.00 Family=£20.00

Please make your cheque payable to
The Chiltern Orchid Society and send it to:

                                                                        Ms Stella Steveni
                                                                        23 Boldmere Road
                                                                        Eastcote
                                                                        Pinner
                                                                        Middlesex HA5 1PJ