Membership Application Form

Welcome to The Hardy Plant Society

Staffordshire Group

Address.............................................................................................................................

.........................................................................................................................................

Name(s)............................................................................................................................

Signed..................................................................

Tel. No...............................................................

I/We wish to apply for membership of the Staffordshire Group of the Hardy Plant Society and enclose a remittance of

£.............. payable to 'HPS Staffordshire Group'

Date...............................................

Please return this form together with your remittance to the Membership Secretary

E-mail address.....................................................................................