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     ACTA SCIO Membership Application Form

 

Please complete, in full, the following form in block capitals, sign, date, print out and send with appropriate fee to:

 

Chairman, Gerry Cassidy, 97 Crofthead Road, AYR, Ayrshire, Scotland KA7 3NE

 

Please make cheques/POs payable to:

 

Astro Cosmic Terran Association SCIO

 

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Full Name:

 

Address with Postal Code:

 

 

E-mail address:

 

Landline:

 

Mobile:

 

I am applying for membership of ACTA SCIO and confirm that I am aged 18 years or over, will comply to the ACTA SCIO Constitution and have enclosed appropriate membership fee.

 

Signed:                                                              Dated:

 

*Annual membership subscription shall be £15 (adult), £10  (unwaged – subject to proof of status), £10 student  (subject to proof of status).

 

Astro Cosmic Terran Association SCIO (ACTA SCIO)

Registered Charity number: SC042560

 

 

 

 




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