Annual Membership Application Or Renewal Form
For The Friends Of Welford Road Cemetery, Leicester
or use if if you wish to make a donation to the funds

Subscription Rates:
Members £10 - Family Membership £15
Organisation Membership £20 - Mailing List Only £5

Please complete the form and send to:
Mrs. R.M. Harrison, Hon. Treasurer FWRC
74 Oakcroft Avenue, Kirby Muxloe, Leicester LE9 2DG
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Please find my cash/cheque for £10/£15/£20 and enrol me as/us as an Ordinary/Family/Organisation/Member of for £5 to receive the Newsletters   £..........................................
I enclose a donation to the funds of the FWRC £.................
Cheques made payable to FWRC

Name .........................................................................................................

Position If Representing An Organisation.........................................

Address & Post Code.............................................................................

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Tel. No:_____________ Fax No: _______________

EMail Address: _____________________________