PHS Membership Application Form

PHS Membership Application Form

UK Annual Subscription - membership runs from 1 May each year

Individual membership £20.

Family membership £30

Concession (retired, full-time student, unemployed) £15

Corporate membership £35.00

For international membership rates check out the PHS web site

Cheques, made payable to "Plastics Historical Society", must be in Sterling and drawn on a

UK Bank. For those who prefer to pay by Direct Debit the PHS bank account details are:

A/c No.- 5971454; Sort Code: 30-99-86.

Please note that credit/debit cards may be used with payments via PayPal which can be accessed

from the PHS website if you have already registered your membership using this or an equivalent form.

With PayPal it is possible to pay in Sterling, Euros or US dollars.

Please send this form and a sterling cheque to:-

The Membership Secretary, PHS
PO Box 52473
London NW3 9BZ

Remittance enclosed £ . . . . . . . . or tick this box if you are paying via PayPal □

Personal details: Please complete in capital letters

Name ...................................................................................................................................

Address ………………………………………………………………….…………………………………………..…..……............

………………………………………………………………………………………………………………………...……………............

……………………………………………………………………..Postcode…………………………………...………….............

Telephone No……………….……………e-mail address………………………………………….....………..............

Main interest in plastics ……………………………………………………..…………………....…….....…….............

Have you a plastics-related website you would like adding to the “Links” page of the PHS

website?.......

URL?.................................................................................................................

Would you object to your name, interests and contact phone number or e-mail

address being placed on a list in the "Members only" section of the PHS website?..............

Date ..……………………………….