CARDIFF SCIENTIFIC SOCIETY MEMBERSHIP FORM
2017-2018 Session

Please return to: Dr Tony Williams, 18 Hollybush Road, Cardiff 23 6TA

Please make cheques payable to ‘Cardiff Scientific Society’. Your membership cards will be send to you or will be available at the first lecture you attend.

Name:

Address:

Post Code:                            

email address:

	Printed programme by post 	
	PDF programme/email updates only	
Preferred means of communication: 	

	Senior                                         £15    		
	Student                                      Free 	
	Young (Under 18)                     Free	
Type of Membership:

Young and Student Members please let us know which school, college or university you attend: