Broseley Local History Society  
Incorporating the Wilkinson Society


Membership Application:

Membership fees are £7 for single and £12 for joint.
Please print and send the completed from together with the annual subscription to the Membership Secretary:

Mrs.  J. Robinson.  26, Coalport Road,  BROSELEY, Shropshire  TF12 5AZ

Name


Address


 


 


Telephone


Should you require further information either write to the Membership Secretary at the above address or Email  Steve Dewhirst