Application for Membership or Change of Contact

Transcription

Application for Membership or Change of Contact
Dealey Plaza UK
Website: http://dealeyplazauk.org.uk/
Treasurer:
Allan Johnson
4 St. Mary’s Walk
Everton Harpenden
Beds. SG19 2JQ
Chairman
John Wassell
9 Cranbourne Drive
Sandy
Herts. AL5 1RJ
Secretary:
Stuart Galloway
8 The Avenue
Beds.
SG19 1ER
Application for Membership or Change of Contact Details
Surname:…………………………..…….
First Name:………………………………………......
Address:…………………………………
Tel. No. (Inc. Area code):…………………...................
Town/City………………………………..
E-Mail:………………………………………………
County/State:……………………………..
Post/Zip Code:………………………………………..
Any Particular Interest in the JFK Assassination e.g. characters/events/agencies
…………………………………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………….
All annual subscriptions become due on 1st January, the sum payable being the values quoted in the “January to April” period
First Year Membership
Full Member
Concessionary Rate Member*
Number of Journals
Joining Period
Cost in UK
Cost in USA
Cost in UK
Cost in USA
Jan. - April
£18
$30
£10
$18
3
May - Aug.
£12
$20
£7
$12
2
Sept. - Dec.
£6
$10
£4
$6
1
The above rates apply to the first year of membership, depending on the date of application. All annual membership renewals
become due on 1st January. The annual rates are as stated in the first line of the table above.
*A concessionary rate member is a person still in full time education (under 22 years of age), a retired person, or an unemployed person
Please make payment to the relevant Membership Secretary below with the cheque made payable as indicated: Peter Antill
(UK/Europe Membership
Sec.)
Mark Rowe
(USA Membership Sec.)
Address: 22 Maplefield
Park Street Lane
St. Albans
Hertfordshire AL2 2BG
Address: 11703 Alclad Avenue
Whittier
California
CA 90605
E-mail:
[email protected]
Cheque payable to: -
E-mail:
[email protected]
Check payable to: -
“Dealey Plaza UK”
“Mark H Rowe”
I understand that my contact details will not be publicised externally by Dealey Plaza UK but may be used for contact purposes
within the Group
I would be interested in giving a presentation to the Group at a forthcoming seminar – (if “yes” please tick box)
Signed:………………………………………….
Date:………………………………..
Please print and fill in form and send along with fee to appropriate Membership Secretary