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George Borrow Society Membership Form

Membership is effective from 1 April and costs £25.00 a year for an individual and £37.50 for a couple at the same address.

The corporate subscription rate is £25.00 a year. For students the cost is £10.00 a year.

If you would like to join the George Borrow Society, please complete the forms entitled APPLICATION TO JOIN THE GEORGE BORROW SOCIETY and PAYMENT

Note: Any member who introduces a new member to the Society will have a 20% rebate on their next subscription, making their subscription £20, and the new member introduced will also pay a first year subscription of £20 instead of £25, reverting to the full amount in the year following. New members joining between the 1st of January and the 31st of March will not be required to renew their subscription until the 31st of March the following year.

The completed form(s) should be returned to the Membership Secretary:

Michael Skillman, at 60 Upper Marsh Road, Warminster, Wiltshire BA12 9PN England.

APPLICATION TO JOIN THE GEORGE BORROW SOCIETY

Name (or contact name for corporate subscriptions)
Title . . . . . . . . . . . . (e.g. Mrs/Dr)
Forename . . . . . . . . . . . . . . . . . . . . . . . .
Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Full address including postal code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Phone number(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E-mail address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Any other relevant information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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May we keep the above data on file? . . . . . . and tell other members your address? . . . . . .
(For corporate subscriptions)
Do you require an invoice?		 . . . . . .
How did you discover the
George Borrow Society?		 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PAYMENT

Please use whichever method of payment (a, b or c) is best for you

a. By Sterling Cheque to The Membership Secretary, George Borrow Society, 60, Upper Marsh Rd., Warminster, Wilts. BA12 9PN

I/We enclose a cheque/postal order for £. . . . . . . . . . . . .. sterling, made payable to “The George Borrow Society”.

Name(s) (please print)

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Signed

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . .
OR
b. By Standing Order

Please contact our Membership Secretary at the above address (or ) for details of how to setup a standing order with your bank as we no longer make the Society’s bank account details available on this public form.

OR
c. By Direct Credit

You can use your normal on-line banking system or telephone method.

As above, please contact our Membership Secretary for the details you will need.

You should find a link to “pay bill” or “transfer money” - words to that effect. Make it plain who you are (crucial) and what the money is for (e.g. 'subs for 2016') and/or any personal references you may wish to add. Then make the payment to the credit of The George Borrow Society.

INSTRUCTIONS TO BANK TO PAY A STANDING ORDER

To the Manager:. . . . . . . . . . . . . . . . . . . . . ..Bank* Please pay on the . . . . . . .day of
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . month. . . . . . . . . .year
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and on the same day of each succeeding year
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Postcode:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

to the credit of The George Borrow Society, account number . . . . . . . . .

at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., Sort Code . . - . . - . .

the sum of £. . . . . . . . . . . . until . . . . . . . . . payments have been made/until
further notice (delete inapplicable)
Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Postcode: . . . . . . . . . . . . . . . . . .
Your bank sort code: _ _-_ _-_ _
Your account number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Your signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . . . . . . . . . .

* Please do not send this form to your bank. Return it to The Membership Secretary, George Borrow Society, 60, Upper Marsh Rd., Warminster, Wilts. BA12 9PN