The London Cornish Association This form should be printed out, filled in by hand in BLOCK CAPITALS, signed and sent with your cheque for £15, postal order or banker's draft to Membership Secretary, Mr.Graham Pearce, 17 Trellyn Close, Maidstone, ME16 9EF. UK Payment must be made in UK Pounds Sterling since the Association regrets it cannot bear the cost of currency conversion. You may pay by cheque, postal order or banker's draft, made payable to The London Cornish Association

Title (Mr/Mrs/Miss/Ms/Dr/Other) Surname First Name Address 1 Address 2 Town County Postcode Country Telephone (+code) Email Qualification for Membership: Place of Birth Descent Marriage Other (please specify)     Membership Donation TOTAL Back to top