APPLICATION DETAILS: (please print.)

NAME: _________________________________________________________________

ADDRESS: ______________________________________________________________

DATE OF BIRTH: ________________________________________________________

PLACE OF BIRTH: _______________________________________________________

INTERESTS AND BACKGROUND INFORMATION (if you consider this relevant to

your application.) _________________________________________________________

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I have seen and read a copy of the constitution of the Odinshof and hereby make application to join the said ‘Hof as a member. I have enclosed the sum of £ , being my donation to promote the work of the Odinshof, and for one years membership.

SIGNED: __________________________________ DATED: _____________________

(It is useful to enclose a recent passport size photograph of yourself for our Odinshof records.)

HOW DID YOU FIRST LEARN OF THE ODINSHOF? __________________________

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