The Amersham & District Philatelic Society

Join

Please complete the form below to join the society. Fields marked with an asterix (*) and required.

Please note that applying to join indicated that you have read and accept the Rules and Constitution of the Society, and that as part of your membership, you agree to undertake tasks towards the running of the Society.

Title*

Mr Mrs Miss Ms Other Please specify your title

Title if 'Other'

If you answered 'Other' above, please specify your title

First Name*

Please enter your first name

Last Name*

Please enter your last name

Email Address*

Please enter your email address

House No./Name*

Please enter your house number / name

Street*

Please enter your street

Location

Please enter your location

Town / City*

Please enter your town / city

Post Code*

Please enter your post code

Country*

Please enter your country

Philatelic Interests

Please tell us a bit about you philatelic interests in order of importance

Other Memberships

Please list your memberships of other Philatelic Societies and any position held in them

Exchange Packets*

No Yes Please indicate if you wish to receive exchange packets

CAPTCHA

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