Subscribers' Application

Please complete and print this form, then send with cheque for the value of £15 (made payable to A.P.D.T) or postal order to:
APDT subscriber list, PO Box 17, Kempsford GL7 4WZ

Subscribers Details
Name:
Address 1:
Address 2:
Town:
County:
Post Code:
Country:
Telephone:
Fax:
Mobile:
Email:

FOR OFFICE USE ONLY

Date Application Recieved ..........................................................