MEMBERSHIP APPLICATION ......(please enter date)

I/we wish to become a member of Friends of Norfolk Dialect (FOND), and enclose the membership fee of: (please delete as necessary)

£6 (single member) £10 (family membership)

£20 (educational establishment) £50 (commercial company)

Mr/Mrs/Miss/Ms..................... Surname..................................

Address......................................................................

.............................................................................

.............................................................................

.............................................................................

Post code.......................Telephone....................................

Cheques to be made out to FOND

Please print out and return this form to:

Brenda Bizzell,
Walnut Tree House,
Forncett St. Peter,
Norwich,
Norfolk,
NR16 1HR

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