Join the Rupert Brooke Society

To join the Rupert Brooke Society, please print out this form, complete it, and send it to:

Wes Smith, RBS Membership Secretary, 49 Chalmers Road, Cambridge CB1 3SZ, United Kingdom.

Full Name:
Address:
Post Code:
Evening Tel no:
E-Mail:

UK Rate Overseas Rate

Subscription £10.00 £15.00

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Payments in Sterling only, please.

Please select a method of payment: 1. I enclose a cheque for £.................. made payable to The Rupert Brooke Society to cover one year's membership. Or: 2. Please charge £.................. to my Visa / Access / Mastercard    Number .............. - .............. - .............. - ..............    Expiry .......... / ..........    Signed .....................................................................    Dated  ...................................................................... Or: 3. If you would like to pay by Standing Order, please contact the Membership Secretary at the address below.

Wes Smith, RBS Membership Secretary, 49 Chalmers Road, Cambridge CB1 3SZ, United Kingdom.

Email membership@rupertbrooke.com