ASSOCIATION MEMBERSHIP APPLICATION/RENEWAL

 

Please print and complete this form as fully as possible in block capitals (with the exception of case sensitive e-mail addresses). 

 

NAME:

 

NAMES OF ADDITIONAL MEMBERS RENEWING OR JOINING TODAY:

 

        

 

CHEQUE ENCLOSED for £……………..   representing……….. member/s @ £5.00 each

 

ADDRESS:

 

 

HOME TELEPHONE:

E-MAIL:

DATE OF COMPLETION:

 

CURRENTLY SERVING / RETIRED  (please delete as appropriate)

 

CURRENT/ FINAL RANK:                                   DATES OF SERVICE ON No II (AC) SQN: 

POSITION HELD ON SQN:       

A/C TYPE/S:

 

 

ARE YOU WILLING FOR THE FOLLOWING DETAILS TO BE INCLUDED ON A CONTACT LIST WITH A FUTURE NEWSLETTER AND ON THE ASSOCIATION WEBSITE? (* Please delete as appropriate)

                                                                                    NEWSLETTER                          WEBSITE

NAME                                                                           YES / NO*                                YES/NO*

TOWN OF RESIDENCE                                     YES / NO*                                YES/NO*

TELEPHONE NUMBER                                      YES / NO*                                YES/NO*         

E-MAIL ADDRESS                                                        YES / NO*                                YES/NO*         

DATES OF SERVICE ON No II (AC) SQUADRON            YES / NO*                                YES/NO*

 

(These details will be held for reference ONLY by the Membership Secretary if you do not wish them to be distributed to other members or made public on the website)

 

In order to reduce the administrative burden and future postage costs, it would be much appreciated if you would set up a standing order - a request form follows.

 

If you have already set up a standing order, please give the date on which this commenced:

 

If you would prefer to pay by cheque, please make it payable to II(AC) Sqn Association.  All responses and any cheques should be posted, along with this form, to:

 

 

Mrs Trudy Walker

33 Suffolk Road

King’s Lynn

Norfolk

PE30 4AH

 



 

STANDING ORDER APPLICATION:

Standing Order Form II(AC) Squadron Association

Please complete the form below and return it to the address at the bottom of the page. Once we have received the completed form we will keep a photocopy and send the original standing order form to your bank so that they can process payments. The current fee is £5 per year payable on the 1st June.

Your name & address: ..........................................................................

..............................................................................................................

..............................................................................................................

Your bank:
To: ........................................................................................................
(Bank/Building Society)

Bank's address: ....................................................................................

.............................................................................................................

.............................................................................................................

Your account:
Account no:
......................................... Sort code: ................................

Please pay to Lloyds TSB Bank, Kings Lynn Branch, 1 Tuesday Market Place, Kings Lynn, Norfolk PE30 1J for the account of II(AC) Sqn Association A/C (Account No. 02289843) (Sort Code 30-94-75):

Amount (in words & figures):

The sum of £ ............................. (figures) ..............................................

................................................................................................(words)

on the .........................day of............................(month).......................(year)

and a like sum each year until further notice.

Signature

Date:

PLEASE NOTE THAT THIS REPLACES ANY PREVIOUS
STANDING ORDER FORMS

 

Mrs Trudy Walker

33 Suffolk Road

King’s Lynn

Norfolk, PE30 4AH