The Orchid Society of Great Britain
APPLICATION FOR MEMBERSHIP
To: The Membership Secretary, Walter Lefley, 39 Hainault Road, Romford, Essex, RM5 3AA
I/We
..
Mr., Mrs., Miss, etc (Block letters please)
hereby apply for membership of the Orchid Society of Great Britain and, if
accepted,
agree to abide by the Rules of the Society in all respects.
Address: . .....
.... ...
Post Code: Telephone No: . .............
Email: ................................................................. Fax/Other: .............................................................................
Would you like your name and address to be included in the Journal
as a new member YES/NO *
* Please delete that which does not apply.
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£ |
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| Annual Subscription: | Individual | £16(June - November 2 year offer £24) | |
| Family | £16 + £4 for each additional member (June - November 2 year offer £24 + £6) |
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| Young Person | £12 (Under 12) (June - November 2 year offer £18) | ||
| Overseas Members' Supplement £3 (to cover additional postage - £6 for 2 year offer) | |||
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TOTAL |
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| Method of Payment, in
sterling please (Tick box below) |
Details |
| I enclose a cheque/PO for £
... made payable to: The Orchid Society of Great Britain. |
|
| Please debit my Access/Mastercard
or Visa
Card No. __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ |
|
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Please collect my subscription by Standing Order, see next page. |
| Please treat my subscription money for this year and until further notice as Gift Aid. I confirm that I pay an amount of income tax and/or capital gains tax equal to the tax that the OSGB will reclaim on my subscription payment for the year. |
Signature: ..................................................... Date: ................................
The Orchid Society of Great Britain
STANDING ORDER INSTRUCTION
To: The Manager Bank PLC
(Name and Address of Member's Bank)
..
..
Please pay to National Westminster Bank PLC,
Sidcup Branch,
Sort Code
60-19-19
for the credit of The Orchid Society of Great Britain,
Account Number 33618968,
the sum of £
on receipt of this Order, and a further sum of £
on
the 1st January 20
..
and annually thereafter until further notice, quoting the reference
(please leave blank)
and charge my/our account accordingly.
This instruction cancels any previous order in favour of the beneficiary.
Name(s) of A/C Holder(s)
A/C No
..................................................................
Members name in full:
..................................................................................................................................................
Members address: ........................................................................................................................................................
...........................................................................................................................................................................................
...........................................................................................................................................................................................
Signature . Date
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