Application form to join The Hypatia Trust
Registered Charity no. 1060663
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Application form to join The Hypatia Trust Registered Charity no. 1060663 |
Please print this form, complete it, and mail it to
The Hypatia Trust, Trevelyan House, 16 Chapel Street, Penzance, Cornwall TR18 4AW
Please enclose a cheque made payable to The Hypatia Trust
Personal details
Name: _____________________________________
Address: ______________________________________________________________________________________________
Telephone number: _________________________
e-mail:
__________________________________________________
SIGNED: _______________________________________ DATE: ___/___/___
Please tick which category of membership you would like. The categories are:
| ____ | Membership @ £20 | |||
| ____ | Membership, concessions (unwaged, students) @ £10 | |||
| ____ | By donation, books, time as a volunteer, or cash sum £____ | |||
| ____ | Patron @ £100. You will receive a complimentary copy of every book published by Hypatia Publications. This includes books published under the Patten Press and Jamieson Library imprints. | |||