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Please select the membership type you require, then print out the application form, complete, and return with your remitance (cheques should be made payable to The Buckingham Society) to:

Gill Jones,
Membership Secretary,
The Buckingham Society,
Trinity House,
20 Church Street,
Buckingham MK18 1BY.

Name(s):__________________________________________

Address:__________________________________________

__________________________________________________

Postcode:_________________________________________

Email:____________________________________________

Phone:____________________________________________

Sign:_____________________________________________

Date:_____________________________________________

Gift Aid increases the value of your subscription. Please tick the box if this is appropriate to you.

I wish The Buckingham Society to treat this and future subscriptions as Gift Aid until further notice.

Membership runs from 1 January to 31 December

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