The Kith of Yggdrasil

26 Essex Road
Dartford
Kent
DA1 2AU

MEMBERSHIP APPLICATION/ RENEWAL FORM

SUBSCRIPTION RATES

UK membership 

£5.00pa

European membership [including Ireland] 

£7.00pa

Membership anywhere else in the world

£9.00pa

All subscriptions to be paid in the United Kingdom in sterling, by cheque, postal order or cash.
Cheques to be made payable to the Kith of Yggdrasil, and sent to the above address.

MEMBERSHIP DETAILS

Full Name._____________________________________________________________
 
ADDRESS.______________________________________________________________

______________________________________________________________________
 
Post Code.____________________    Telephone Number._______________________
 
E: Mail address._________________________________________________________

I am willing/unwilling*  for the Kith of Yggdrasil to make my contact details available to other members.
 
Attached is my/my family* annual subscription of £_______________

*Please delete as appropriate.

Signed._________________________________       Dated._______________________
 

Please address all communications to the above address.     İThe Kith of Yggdrasil. July 2004.