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.
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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Annual
Subscription: Individual £16 Family £16 + £4 for each
additional member at the same address Young Person £12 (Under 21) Overseas
Members’ Supplement(to cover
additional postage) |
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Between
the 1st June & 5th November a special 2 year
membership is available to new members |
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TOTAL |
£ |
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Method of Payment,
in sterling please |
Details |
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I enclose a cheque/PO for £
………………... made payable to: |
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Please debit my Access/Mastercard or Visa Card No. __ __ __
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Please collect my subscription by Standing Order, see next page. |
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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. |
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Signature:________________________________________________ Date:__________________
The Orchid Society of Great Britain
STANDING ORDER INSTRUCTION
To: The Manager________________________________________________ Bank PLC
_____________________________________________________________ (Name and Address
_____________________________________________________________ of Members’ 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 ____________________________
Member’s name in full:______________________________________________________________________
Member’s address:________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Signature _________________________________________________ Date _________________________