​Application For Membership                                                           

I/We hereby apply for membership to the East Midlands Orchid Society

 Name(s)      Mr Mrs Miss Ms…………………………………………………

                   Mr Mrs Miss Ms…………………………………………………

Address        ……………………………………………………………………………………………

……………………………………………………………………………………………

……………………………………………………………………………………………

 Post Code    ……………………………………

Telephone Number  ……………………………………………

Email Address ……………………………………………………

Please indicate whether double (£30*) [  ], or single (£20*) [  ]  

Payment will be made by (please tick)   

Bank Transfer [  ] - For Bank Transfer details email Mrs. Sue Tongue (address supplied)

Cheque [  ] Payable to East Midlands Orchid Society

Signature(s)………………………../…………………………

Please contact or complete and return to:-

Mrs S Tongue
6 Broomhill Cottages
Nottingham Road
Hucknall
NG15 7QF 

Email: lycaste.st@gmail