Northamptonshire Association for Local History

Please complete the form.  Print it out and send it with your cheque to the Treasurer.

The names of all attendees should be given, though only a single contact address is required. Please enclose a stamped addressed envelope for confirmation and directions to the venue. The closing date is the 9th October.

Items marked * are required.

Name 1: *

Name 2:

Name 3:

Name 4:

Name 5:

Name 6:

Address 1: *

Address 2:

Address 3:

Town: *

County:

Post Code: *

Country:

Dietary requirements:

Display space required:

 

I enclose a cheque for £ . . .   payable to:

Northamptonshire Association for Local History (NALH)

 

Send the completed form together with your remittance and a stamped addressed envelope to:

The Treasurer,
Northamptonshire Association for Local History, 6 Bakers Lane, Norton, Daventry, NN11 2EL.

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