To: The Membership Secretary
National Philatelic Society
10 Gilpin Green
HARPENDEN 
AL5 5NR

Please complete and send cheque to the address above

Please press CTRL+P to print this form off, then press the logo belowPress here to return to Joining NPS

Family Membership Application Form

This form should be used by an Applicant or an Existing Member of the National Philatelic Society
who wishes to nominate one or more persons who reside at his/her address to be
a Family Member of the National Philatelic Society.

I, (enter name and address)
 ________________________________________________________________________________________

_______________________________________________________________________________________   am
 * currently applying to Join the National Philatelic Society/ * an existing member of the National Philatelic Society                                       *please delete as appropriate
and wish to apply for Family Membership for the following who reside at my address (please enter names of Family members). 

 

and enclose my cheque for 10 (In the case of new members this payment may be combined with the cheque accompanying the Application Form).

___________________________________________(signed) ________________________(date)

Each new Family Member should complete and sign the section below:

                FULL NAME & TITLE                                                        DATE OF BIRTH                                                            SIGNATURE

If this application is accepted I agree to abide by the Rules of the National Philatelic Society