Application for Membership
(please complete in block letters)
Surname.....................................................................................................................................
First name(s)...............................................................................................................................
Postal address.............................................................................................................................
...................................................................................................................................................
...................................................................................................................................................
Postal code.............................................. Telephone number..............................................
E-
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....................................