Charmouth Local History Society
Application for membership (household - 2 persons)

We are very pleased you are planning to join the History Society which assists research into a wealth of local history and provides free access to the research findings to the local community and beyond.  

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Household address - please include postcode *
Member 1 - name ( Title, First name, Surname) *
Member 1 - email address *
Member 1 - phone number (home & mobile) *
Member 2 - name ( Title, First name, Surname)
Member 2 - email address
Member 2 - phone number (mobile)
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