Please print this page, fill it in and post the completed form, with your cheque for the appropriate amount - made payable to "Linlithgow Civic Trust", to:-
John Aitken, LCT Membership Sec.
Sulisker, Boghall, Linlithgow, West Lothian EH49 7GR
| Full Name(s) | ................................................................................................................................ |
| Address |
................................................................................................................................ ................................................................................................................................ Post Code .......................................................................................................... |
| Phone No. | ................................................................................................................................ |
| ................................................................................................................................ |
| Type of Membership | No. | Amount |
| Ordinary Membership at £7.00 per person | £ | |
| Senior Citizen Membership at £5.00 per person | £ | |
| Family (Household) Membership at £10 per household | £ | |
| Life Membership at £45.00 per person | £ | |
| Double Life membership at £60.00 per couple | £ | |
| "Linlithgow Old and New" at the Members Price of £10 per copy | £ | |
| "Street Names of Linlithgow & Linlithgow Bridge" price £4.50 per copy | £ | |
| "Walks around Linlithgow" price £6.00 per copy | £ | |
| "Linlithgow Street Plan" price £2.35 per copy | £ | |
| Total Remittance Enclosed: | £ | |
Subscriptions are due in September each year. Please do not try to submit this form electronically as the Trust can not collect payment on-line. After we receive your application, the Trust will keep you fully informed of events, visits etc. We look forward to seeing you!