Dean Archaeological Group - Standing Order

 

DEAN ARCHAEOLOGICAL GROUP Authorisation to pay Annual Subscription 

To the Manager.........................................Bank Plc.


Address..................................................................................................................................... 


Branch........................................................ Please pay on receipt 
of this instruction the sum of £..............and on January 1st in each subsequent 
years until further notice, an annual subscription of £.......................(please insert 
amount) to the account of Dean Archaeological Group, Lloyds Bank plc.,  Coleford 
Branch,    19, Market Place,   Coleford,   Glos.  GL16 8AF.     Bank Code 30 95 29
A/C. No.  01182913

Ref No:........................(To be inserted by Membership Secretary) This instruction 
cancels any previous instruction concerning paying annual subscription to the Group.

Signature:.........................................................  

Name (CAPITALS).............................. Account No.......................... Date ..................

 _____________________________________________________________________ 
Subscriptions are at present £15.00 for an Individual Member; £15.00 for Family 
and Associate Membership, and £5.00 for Juniors under the age of 18. PLEASE DO NOT return this order 
to your bank, but please forward to the Group so that your D.A.G. Ref can be inserted. 

PLEASE RETURN TO:- The Membership Secretary,

Judi Morgan, Pond Cottage, STROAT, Nr. Chepstow, Mon, NP16 7LR

------------------------------------------Cut Here----------------------------------------

 

Print This Page (A4)              Back to Join DAG