AMARC

Personal Membership Application Form

Please type directly into the boxes and then print the page; or print the page first and then fill in the boxes by hand IN CAPITALS

Title
Forenames/Initials
Surname

Address:



email address:
I enclose a cheque for
(Please add the equivalent of £7 if you are not paying in sterling)
Please send me a receipt
Please send me an invoice
(Check a box if applicable)
Mail the completed form and payment
(cheques should be made payable to 'AMARC')
to:

Dr Michael Stansfield
AMARC Treasurer
University Library
Archives and Special Collections
Palace Green
Durham DH1 3RN