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.