THE WHITE ENSIGN ASSOCIATION
Membership Application
 

To apply for membership please complete, print out and return signed with your remittance to: White Ensign Association Limited, HMS Belfast, Tooley Street, London SE1 2JH. See contact info for other contact information.

Name:
Position in Company:
Company Name:
Post Code:
Address:
Telephone:
Fax:
Email
Web Address
I/we wish to apply for the following grade of membership of the White Ensign Association (please tick box):
  Corporate membership £352.50 per annum (includes VAT)
  Life Member £150.00 single payment
  Annual Member £15.00 per year

signature: ____________________    date:

Cheques to be made payable to The White Ensign Association Limited

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