Ages-AAA MEMBERSHIP FORM

Amateur Archaeology Association

Tel: 01268 457784 Email:

APPLICATION FOR MEMBERSHIP
Contact Name:
Address:
Telephone No:
Mobile No:
Email:
If JOINING AS A FAMILY TICKET Please fill in the relevant information below of all family members: -
Name: Age if under 16
Name: Age if under 16
Name: Age if under 16
Name: Age if under 16
Name: Age if under 16
MEMBERSHIP TYPE
Waged Individual£ 20.00
Retired Person£ 15.00
Un-Waged Person£ 15.00
Family Ticket
(covers all living at one single address)		£ 25.00
Children 16+£ 10.00
Students
(credentials required)		£ 10.00
Children under 16 MUST have parental/Guardian consent and can join under a Family Ticket ONLY

Please send the completed form, together with a cheque made payable to Ages-AAA to:
33, Rochester Way, Basildon, Essex SS14 3QG.