CYPRUS STUDY CIRCLE Founded 1974 MEMBERSHIP APPLICATION Please complete in BLOCK CAPITALS and return to: Cyprus Study Circle Phone 01939 233937 10 Marne Close Email colindear@talktalk.net Wem, Shrewsbury Salop SY4 5YE United Kingdom Your Full Name: ................................................................... Address: ................................................................... ................................................................... ................................................................... ................................................................... Post Code: ................................................................... Phone Number: ................................................................... Email Address: ................................................................... How did you hear of the Cyprus Study Circle? ................................................................... Do you wish to join the Exchange Packet Circuit (U.K. only)? Yes No Are you a member of any other societies? ................................................................... Do you have a particular interest? Please give brief details: Stamps ................................................................... Postal History ................................................................... Postmarks ................................................................... Other(please specify) ................................................................... Please provide the names and addresses of two references (preferably Stamp Trade or Philatelic Society). Reference 1: ................................................................... ................................................................... ................................................................... ................................................................... ................................................................... Reference 2: ................................................................... ................................................................... ................................................................... ................................................................... ................................................................... PLEASE NOTE To comply with the Data Protection Act, certain officers of the Cyprus Study Circle maintain computerised records of members, names, addresses, etc. This information is never divulged to others without the express permission of the member concerned. I wish to apply for membership of the Cyprus Study Circle and enclose my first subscription of £15.00 (Please note the revised price from Jan 2008). Payment can only be accepted in Sterling or Euro's - cheques must be drawn on a UK Bank and should be made payable to CYPRUS STUDY CIRCLE Please advise us of the method you wish to receive Study Papers - CD, Printed, Both (Please note that for the supply of both a charge will be made at a rate determined by the society for each Study Paper). Please advise us of the method of delivery for the Cyprus Circular Post, News Letters and Auction Lists - Email, Printed. (one or the other, both is not an option) Signed ................................. Date ..................... ----------------------------------------------------------------------- (Study Circle Use Only) Letter sent Reference Requested Reply Received Newsletter Membership List Treasurer Dispatch Exchange Packet