obsolete-Memberform

ANNUAL SUBSCRIPTION RATES:

Ordinary member:                                 £18
Family membership:                             £22

     (two or more people at same address)

Junior member under 18:                    £12

Junior member without Records      £6

Affiliated society:                                   £22

TO JOIN THE SOCIETY…

Print out this form and return to:

Membership Secretary, BAS Library,
County Museum, Church Street,
Aylesbury, Bucks  HP20 2QP

Title(s): ____________  Name(s):__________________________________________

Address:__________________________________________Postcode:____________

Telephone: ____________________
eMail address:___________________________

I ENCLOSE the sum of £ ___________ as my first-year subscription.
(Please make cheques payable to ‘Bucks Archaeological Society’.)

TO GIFT AID YOUR SUBSCRIPTION TICK THIS BOX: c

I want to Gift Aid my donation of £_____ and any donations I make in the future or have made in the past 4 years to the Buckinghamshire Archaeological Society. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay the difference.  (The Society is Registered Charity 310525.)

Signature: ______________________________________ Date: _________________

STANDING ORDER FORM

Please also complete this form if after the first year you would like your subscription to be paid automatically by your bank each year:

TO MY BANK:  Bank name: _______________________________________________

Please pay from (account name): __________________________________________

Account number: ______________________  Bank Sort Code:  ….-….-….

Amount:  £ ___________  on  2 January of every year following the date below until cancelled by me/us in writing. This replaces any existing Standing Order to this Society

Please pay to:  Lloyd’s Bank    Sort Code:  30-90-38     Quoting reference:   Memsub

Account name: Buckinghamshire Archaeological Society  Account number:00086161     

Signature: _____________________________________  Date: _________________

The Bucks Archaeological Society will pass this signed form on to your bank.

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