Masonic Philatelic Club

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
________________________________________________________________________

 Please leave for Club use:
 
Date received.............................................Amount received..............................

Membership number....................................    
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