Haltwhistle and District Local
History Society
c/o Haltwhistle Partnership,
Westbourne House, Main Street,
Haltwhistle,
Northumberland, NE49 OAZ
MEMBERSHIP RENEWAL FORM 2006/7
I wish to apply for membership of the Haltwhistle and District Local History
Society for the year commencing 1 April 2006. I enclose a cheque for £5 payable
to Haltwhistle Partnership.
Name.........................................................................................................................................................
Address......................................................................................................................................................
Town.........................................................................................................................................................
County.......................................................................................................................................................
Postcode....................................................................................................................................................
Telephone (Home)......................................................(Work/Mobile)........................................................
E-mail address............................................................................................................................................
Please send me correspondence by e-mail. (Delete if you prefer paper mailing)
Signed ...................................................................... Date.........................................................................
