Mr/Mrs/Miss/Other (please delete as applicable) .......................................................................

Address:  ..................................................

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

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

Postcode:....................      Telephone:..............................       Email:....................................................

 

Please complete and return this form with Standing Order Request or cheque/cash to:

The Membership Secretary
The Portchester Society
144 Castle Street
Portchester, Hampshire, PO16 9QH       

Please make cheques payable to The Portchester Society 

Cheque/postal order enclosed

Bankers order sent                  

Subscription Rates:          

Individual Membership --------        £4.00 Joint, Member and Partner --------    £7
Senior Citizen --------                      £3.00 Joint, Senior Citizens -------           £4.50
Junior Member --------                    £1.00 Group Membership --------                  £8