Gowertonian Society Annual Membership Enrolment Form

Name: _________________________ (Maiden Name) ________________

Address: _______________________

______________________________

_______________________________ Post Code: ________________

Tel. No: ________________________ e-mail address: ________________

I attended Gowerton School from _______________ to _________________

Please print, complete and return this form with a cheque for £2 per member, made payable to The Gowertonian Society, to:

Mr Peter Hughes ,
2 Tabernacle Terrace,
West End,
Penclawdd,
SWANSEA SA4 3YZ.

If your partner was also a Gowertonian, please add his/her name below:

Name: ________________________ (Maiden Name) ________________

He/she attended Gowerton School from____________ to _________________

Any other information you would like to add:

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Please renew your membership each year at the time of the Gowertonian Society Annual Dinner

(Membership for one year is free for Gowertonians who attend the Annual Dinner)