Christian Name:
Surname:
Address:_____________________________________
County:
Country:____________________________
Post/Zip Code
Tel No: _________________________
Entry No: (if ex-Boy) or year joined
*Type of Service: National Service, Ex Boy, Ex Apprentice, Direct Entry, Regular, Friends of KEBAA; *Please cross out those not applicable.
Service No: ; Partner’s Name:
Email address (if applicable)
Membership Number: (For Office Use)
Please return this form, with remittance of £5, to the Treasurer Mrs Peggy Reading, 9 Shire Close, Bellingham, Lincoln, Lincs, LN4 4GR: Tel. No. 01526 323885 Email: readkp@aol.com
* right click on page & select print page, complete and send to Peggy.