Issuu on Google+

THE MALTA CLASSICS ASSOCIATION The General Secretary The Malta Classics Association C/O Department of Classics & Archaeology Archaeology Centre (Car Park 6) University of Malta Msida MSD 2080 MALTA, E.U. Membership Form– http://www.classicsmalta.org MEMBERSHIP APPLICATION - Please complete in block capitals and return to: The Treasurer, The Malta Classics Association, 16 St. Anthony Street, Zebbug ZBG 2234, Malta; e-mail: classicsmaltasoc@gmail.com I wish to join as  A full member for 1 year (20 Euro).  A student member for 1 year (10 Euro).  A life member (150 Euros; Members must be 65 or over. Please supply D.O.B:__/__/__) Title:_________________________ Surname:____________________________________________________________________________ First Name(s):________________________________________________________________________ Address:*___________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Postcode:________________ *if this is a foreign address, please add a Malta address if you have one: Malta Address: ______________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Postcode:________________ College/Institution (for student membership):_______________________________________________ E-mail address (if applicable): ___________________________________________________________ Signature___________________________________________ Date___________________________ Time_____________________________ Payment methods:  Cheque in Euros, made payable to 'The Malta Classical Association'  Cash All applications will be kept in the strictest confidence, and no information on the data subject will be distributed to third parties, in accordance with the Data Protection Act (Cap.440 of the Laws of Malta).


MCA Membership Form