Application for Membership
(please complete in block letters)
Surname.....................................................................................................................
First name(s)................................................................................................................
Postal address..............................................................................................................
......................................................................................................................... ...........
.....................................................................................................................................
Postal code......................................... Telephone number..........................................
E-mail address..................................................................................................
Name of your Lodge.........................................................................................
Number of your Lodge....................................................................................
Location of your Lodge....................................................................................
Craft Masonic Rank........................................................................................
I enclose remittance of £..............payable to the Masonic Philatelic Club or MPC
Signature......................................................... Date....................................................
Return to the Hon. Sec. Mr. Maurice H. Beazley
216 West Dyke Road
REDCAR
Cleveland TS10 4JS
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Please leave for Club use:
Date received.............................................Amount received..............................
Membership number....................................