Application to attend the meeting at The Gallery in Cowcross Street on Friday 26th November 2021

Please complete this form as fully as possible. Fields marked with an asterisk are essential.

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Your name *

We shall contact you at the address given in your membership record. If you are not a member of the Society, please enter your email address here:

Name of second family member attending (if appropriate)

Family memberships only.

Name of guest (or guests), if we are able to accept them

Dietary requirements

Please tell us about any special dietary requirements that you may have.

At this difficult time, the Society is unable to accept any liability for the risk of infection. Those attending the meeting do so at their own risk. Please tick this box to indicate your agreement to this condition. 

Do not send any money now: we shall contact you to confirm the success of your application, and payment details will be provided then.

Page last amended 21st September 2021