Mid Yorkshire Fungus Group

Application form

Family name: Preferred title:
Forename:
Address:
Postcode:
Telephone: E-mail:
Are you a Member or Associate Member of the British Mycological Society? Yes / No
How did you find out about the Mid Yorkshire Fungus Group?

Website / word of mouth / newsletter / attending a foray / other - please tell us ____________________________

Tick one:

[   ] ordinary membership £10.00
[   ] junior / unwaged / student membership £ 5.00
[   ] family membership
please indicate names of adults,
and names and ages of children
£15.00
Would you like to order a yearbook? Yes / No £ 2.50

Total cost:

________

Please read our disclaimer.

Membership details will be kept on a computer database. They will not be made available to anyone outside the MYFG and will only be used to contact members on MYFG business.

Make your cheque payable to: Mid-Yorkshire Fungus Group.

What to do with your application form: Please fill it in and send it to: Mary Larner, Membership Secretary, 8 Haven Court, Leeds LS16 6SH. Please phone Mary on 0113 261 2589 if you have any queries about the form or about membership details.

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