(PLEASE COMPLETE IN BLOCK CAPITALS)
Applicant’s Full Name:
Address:
Post Code:
Telephone No(s):
Fax No.:
Email:
Craft Masonic Rank:
Lodge(s) Name, Province and No.:
I apply for membership of the Buckinghamshire Association for Masonic Research and enclose my Annual subscription of £8 for the current year, commencing in June. Cheques should be made payable to “Buckinghamshire Association for Masonic Research”.
Signed Date:
Proposer’s Name:
Telephone No(s): Email:
Lodge Name, Province & No:
Proposer's Signature: Date:
Please Note: The proposer should be a paid-up Member of the Association OR should be the Secretary of the Applicant’s Lodge.
Please send the completed form, together with your remittance to:
Bob Chevin - 13 Middle Field, Weston Turville, Aylesbury, Bucks. HP22 5RH
Tel: 01296 613835
Email:
ranchmuir2@yahoo.com