WEBB ONE NAME REGISTER Membership Application

WEBB ONE NAME REGISTER

Membership Application

Annual Subscription Rates

Europe	£5.00
Rest of the World	£7.00

"Other" title:
Full Name:

Address:

Country:

Post/Zip Code:

E-mail:

I wish to become a member of the Webb One Name Register from
1 January and enclose payment of

Please list your main areas of interest in the WEBB name:

When you have completed this form, please print it and send to:

Ms Deirdre Whiting,
19 East Lea Road,
Bath,
Somerset,
United Kingdom,
BA1 3RP
Cheques should be made payable to: Webb One Name Register.
You may also pay by United Kingdom, Australian, Canadian, New Zealand or United States currency notes or send unused UK postage stamps - but no Postal Orders please.