Cymmrodorion Membership Application Form Payment by cheque

I wish to apply for Membership of the Cymmrodorion Society as a resident of the South East of England at the subscription of £25 per annum

Date
Title
Name

Address



Post Code

Email

Nominated by

(The Hon. Secretary will be pleased to nominate you, within the rules, if you do not know a member)

On completion, please print out this form and return it with your cheque for £25 to
The Honorary Secretary
Honourable Society of Cymmrodorion, 30 Eastcastle Street, London W1W 8DJ


It would help the Society if you use a Gift Aid form - click here