To:
DBRG Membership Secretary
Patrick Moyle
Millbrook
Kingscross Lane
South Nutfield
near Redhill,Surrey
RH1 5NG
(Tel: 01737-822031)

I/We wish to make application to join the Domestic Buildings Research Group (Surrey).
I/We have read the Guidelines and would be willing to abide by them.

NAME(Mr/Mrs/Ms/Miss)......................................................................................
Address......................................................................................................................
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Post Code.....................................................Tel.No.................................................
email address...........................................................................................................
Occupation................................................................................................................
How did you learn about the Group?.....................................................................
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Signature........................................................
Date................................................................

Should your application be accepted by the Committee, a request for a subscription will be sent to you.
Individual subscription is 15.00 and Family (two people living at the same address and receiving only one mailing) is 20.00.