The Navy Records Society - Application form

Please print this page, fill in the form and post it with your cheque or card details to the Membership Secretary (address below)

I wish to join the Society and enclose my cheque for £ .......... in favour of The Navy Records Society.

I wish to renew my membership of the Society and enclose my cheque for £ .......... in favour of The Navy Records Society.

My details are as follows: (Block capitals please)
(Please give full style, title or rank with degrees, decorations or other qualifications to be used on correspondence.)

Name:
Address:
 
 
Postcode:Home tel:
Work tel:Mobile:
Fax:Email:

Or please debit my Debit/Visa/Mastercard account with the sum of £ ..........

My card number is:

    -     -     -    

Card expiry date:
  /  

Card security number:
   


Signed:
Date:


As a UK taxpayer, I want the Charity to treat all donations I make as Gift Aid Donations, from the date of this declaration until I notify you otherwise
I am not a UK taxpayer / do not want to donate under Gift Aid (tick box only if applicable)
I wish to pay by Standing Order


Signed:
Date:


Subscription rate: £40

The Navy Records Society is a registered charity (Registered No. 210836).

Please post your application to the Membership Secretary, Mrs A Gould, 8 Hawthorn Way, Lindford Borden, Hampshire GU35 0RB