Membership Form

To The Packhorse Bridge Society I/We enclose £…………… being membership fee/s for 1yr for …………(number of people) at £2.50 each

Please add the following names to your membership list

Including the names of children under 16 yrs of age –

(free - if one or two parents are paid up members)

1.………………………………………………………………………………………..

2.………………………………………………………………………………………..

3.………………………………………………………………………………………..

4.………………………………………………………………………………………..

Family address……………………………………………………………………

……………………………………………………………………………………………

Tel:……………………………

Email:……………………………………………

I/We would like to sponsor …………… brick/s at £1.50 ea

Bat Bricks .............. number @ £11 each

Total amount enclosed £………………………………

(Cheques payable please to ‘Packhorse Bridge Society’) thank you

Please return this form and any monies to the Treasurer:

Mrs Lesley Hill,

11 Mallard Close,

Kelvedon,

Colchester,

Essex CO5 9NF