Membership Application

VE Day Gwindy Street

First Name/Enw Cyntaf *

Surname/ Cyfenw *

Address *

Town *

County *

Postcode/Cod Post *

Email Address/Cyfeiriad Ebost *

Telephone/Ffon

How did hear about us?/Sut y clywsoch amdanom?

Annual membership £12.00 renewable 1^st May
Cash/Cheque payable to RLHS or Bank Transfer to RLHS
Rhyl Nat West Bank, Sort code 60-17-30 Account number 90853342
Put your name in the reference box.

Tick the box to digitally sign the application

I agree that the information given is correct

Apply For Membership with RLHS