Edward Thomas Fellowship
Membership Application Form

Annual Membership

I enclose £10.00, individual (£9.00 if paying by standing order), or £15.00, two adults at the same address ( £14.00 if paying by standing order).

I enclose total £___________ cheque/postal order/international money order
payable to The Edward Thomas Fellowship

Renewals will fall on 1st Januray annually.

Standing Order

Your membership will be renewed automatically each January until you instruct your bank to cease payments. This order replaces and cancels any previous orders.

Please pay to HSBC Bank plc, 74 High Street, Alton, Hampshire, GU34 1EZ

For the Edward Thomas Fellowship
Account no.11250205    Sort code 40-08-21

The sum of £____ and debit my/our account.

The first payment to be made on 01/01/__ and subsequently on the same date annually thereafter unless cancelled.

Print out and return this form, including remittance or completed Standing Order, to:
Mr Larry Skillman, Eastbrook, Morleys Road, Weald, Sevenoaks, Kent, TN14 6QX.
Please do not send the Standing Order instruction direct to your bank.