Membership Form

SINGLE MEMBER £6.00

JOINT MEMBER £9.00

NOTE: Joint Membership is open to a Single Member PLUS one named member. Select Relationship option.

Type of Membership
Please select the type of membership

FOR OFFICIAL USE ONLY

Received:

Signed:

Treasurer

Please complete, print (use the button below) & return with your cheque to:

Bob Newton, 14 Launceston Close, Park Hall, Walsall WS5 3EG

Cheques payable to “The Friends of Highgate Brewery

Signed:

Membership Secretary

Friends of Highgate Brewery

You can complete this form before OR after printing. * make selections before printing