Captain Cook Society (CCS)

Application for Membership

This application form should be printed

I wish to make an application for membership of the Captain Cook Society, and enclose the amount due for 2008.

The subscription is for the calendar year of 2008.

People joining during the year will receive all of the journal issues for that year.

Name ......................
Mr. Mrs. Miss Ms, etc. ......................
Address ..................................................................
..................................................................
..................................................................
Tel. Number ......................
Email Address ......................
 
Signed ......................
Date ......................
 


EitherSend 14 GB pounds (£14.00) made payable to the Captain Cook Society to the Secretary: Alwyn Peel, 13 Cowdry Close, Thornhill, Dewsbury, West Yorkshire WF12 OLW, United Kingdom
orSend 28 US dollars ($28.00) made payable to the Captain Cook Society to our agent: Mr Brian Sandford, 173 Minuteman Drive, Concord, MASS 01742, USA
orJoin the Australian branch by sending 48 Australian dollars ($48.00) made payable to the Captain Cook Society to: Mr Len Harrow, 48 Tomasetti Crescent, Narre Warren, Victoria 3805, Australia
orJoin the New Zealand branch by sending 40 New Zealand dollars ($40.00) made payable to Allan Berry to: Mr Allan Berry, 238 Waikiekie Road, Thames, New Zealand
orJoin the Canadian branch by sending 30 Canadian dollars ($30.00) made payable to Captain Cook Society to: Mr W. John Richardson, 19 Oakhurst Dr., North York, Ont. M2K 2N2, Canada