Friends of Clifford T Ward
The official International Fan Club

Club Membership Renewal/Application
(Delete as appropriate)
 

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

Address ..............................................................................................................................
(with postcode)
                    .........................................................................................................................

      .........................................................................................................................

      .........................................................................................................................

Home Telephone Number .................................................................................................

Fax number ........................................................................................................................

E-mail Address ..................................................................................................................

I enclose a cheque/cash for £12.50 this being the membership fee for 12 months
(£15.00 for members overseas)

Renewal date is: 1st October annually
Please make cheques payable to : The friends of CLIFFORD T. WARD
Please return the completed form with your cheque

Signed ..........................................................................................................................

Reply to: Friends Of Clifford T Ward  PO Box 3514  Kidderminster  DY10 2WT

E-Mail: membership@cliffordtward.info

Please feel free to photocopy this form and pass to a friend

Membership entitles members to receive two editions of Waves, the official fan club magazine
and two newsletters each year, 10% discount off all merchandise, and entry fee to annual convention.

I agree/disagree with my membership details being circulated to all members.
(Delete as appropriate)

If any member wishes to make a donation to the friends of Clifford T Ward
then please add the amount toyour membership fee. Membership renewals are not
acknowledged unless specifically requested.  Please allow 28 days for processing.

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18  -  February  -  01   
Mick Armitage (e-mail)