MAA Membership Form
Monmouthshire Antiquarian Association
Join us and take part in our varied programme of events. You will also receive a copy of The Monmouthshire Antiquary and the cost of this prestigious publication is included in the subscription.
See below an MAA Membership Form to copy and paste, a standing order mandate and a gift aid form
Monmouthshire Antiquarian Association: Charity No. 1022927
Subscription rates:-
- Joint membership at same address – £15.00
- Single membership – £12.00
- Full-time student membership – £6.00
- Institutional membership – £18.00
Your membership entitles you to the annual copy of The Monmouthshire Antiquary.
1. The Monmouthshire Antiquarian Association Membership Form
Membership rates: Single £12 Joint £15 Student £6 Institutional £18
Member name and address
Name_______________________________________________
Address _____________________________________________
Post code __________
Form of remittance please underline: Cash / Cheque / Standing order (please complete the mandate)
Amount £_____________________
Your e-mail Address: (please write clearly)
______________________________________________________
Please return to: The Secretary, MAA, c/o 14A Tutnalls Street, Lydney, Glos, GL15 5PF
or
Tel. 07766010090
Email Janet.bailey3@btinternet.com
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2. Standing Order Mandate
To (your bank): __________________________________________
Address (of your bank): ____________________________________
Please pay:
Barclays Bank
Account name: Monmouthshire Antiquarian Association
Sort code: 20-60-58
Account no: 20631051
The sum of £ ______________ (in figures) ________________________________ (in words)
Commencing (enter date) ______________ and thereafter every 1ST JANUARY
Your account name: ___________________________________
Your sort code:________________________ Your a/c number: _______________________
Signature: __________________________
Date :____________________
PLEASE RETURN TO YOUR BANK NOT TO THE TREASURER
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