Friends Application Form

Simply print this webpage and complete the form below.

Museum Friends Application form

To join, simply complete the information below and return the form to a member of staff.  

Your details

 

Title:                     Initials:                      Surname:                                                       

 

                                                                                        Signature……………………

Joint Membership: second name

 

Title:                    Initials:                       Surname:

 

                                                                                        Signature……………………

Address:

 

 

 

 

Postcode:

 

 

Telephone:                                              Email:

 

Membership Required (please circle an option)

 


Adult Single  £20                    Concession £12       

 

Adult Joint  £30                    Family  £40 (up to 2 adults and all children at the same address)

 

 

This form can also be returned by post. Please return to the above address with payment of the required amount. Cheques should be payable to “Explosion Museum”. A welcome letter and membership card will then be sent to you. If you would like to pay by standing order, please also complete a standing order form.

capsa online