Welsh Mines Society
Cymdeithas Mwyngloddiau Cymru
(Member of the National Association of Mining History Organisations)

WMS Membership Application Form
 
 

I wish to become a Member of the Welsh Mines Society:
Title; Mr / Mrs / Ms / Dr 
      
Name: 
  
Address: 
  
 
 
Postcode: 
  
Tel. 
  
E-Mail: 
  
Web Site: 
  
A - Ancient Mining  C - Coal Mines   Ge - Geology / Minerals   H - History
IA - Industrial Archaeology  M - Metal Mines   Mc - Machinery 
R - Restoration   S - Slate Quarries   U - Underground Exploration
From the above list, please state letters which indicate particular areas of interest;
 Interests are: 
  
Other Areas of Interest: 
  
 
Signed: 
  
Date: 
  
Cheque enclosed for £: 
   (Made payable to: 'Welsh Mines Society')
NOTE:  I understand that membership of WMS requires my details to be held on a electronic database and I understand that this electronic database is used for the purposes of membership administration only and will not be shared with any other third party.