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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