Membership Form

Name *

First Name

Last Name

Phone

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I would like to receive emails about local history

Membership Type *

New Membership

Renewing Membership

Joining Declaration *

You can review our Constitution here and our Privacy Policy here.

I wish to join the Histon and Impington Village Society (required)

I am over the age of 18 (required)

I agree to abide by the Society's Constitution (required)

I have reviewed and accept the Society's Privacy Policy (required)

I wish to pay by *

If you are a new member, your membership will begin from the date we receive your cleared payment.

Bank Transfer – payment details will be sent on receipt of form

Cheque or cash– please send your cheque for £12, or £6 if starting from July to December, (payable to Histon and Impington Village Society) to this address: The Secretary, H&IVSoc, 65 Station Road, Histon, Cambridge, CB24 9LQ. Cash to be hand delivered please do not post it