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Institutional Membership Application Form

Please type directly into the boxes and then print the page; or print the page first and then fill in the boxes by hand IN CAPITALS

Name of Institution:
Person and/or Department
to which mailings should be sent:


email address:

I enclose a cheque for £
(Please add the equivalent of £7 if you are not paying in sterling)
Please send me a receipt
Please send me an invoice
Please send me a Standing Order form
(Check a box if applicable)
Send the form and payment
(cheques should be made payable to 'AMARC')

Dr Michael Stansfield
AMARC Treasurer
University Library
Archives and Special Collections
Palace Green
Durham DH1 3RN