ARNOLD BENNETT SOCIETY MEMBERSHIP
Charity Registration: 1140053
www.arnoldbennettsociety.org.uk
APPLICATION FOR MEMBERSHIP (Please use block letters)
Annual subscriptions for 2012-2013 are due on 1st September 2012
Name and title (Mr, Mrs, Miss, etc) _______________________________________________
Address ___________________________________________________Post Code _________
Telephone No. ____________________________________Email _______________________________
Category of Membership ____________________Sum enclosed _____________tick if bank transfer □
Payment can be made by standing order, cheque, postal order or Pay Pal
to arnoldbennettscty@btinternet.com Please add £1 if paying by Pay Pal
But please note that payment by cheque will only be accepted in £ sterling
If paying by standing order your bank will require the following details:
Bank Name: The Co-operative Bank Plc.
Name of Account: Arnold Bennett Society
Account Number: 65263552
Sort Code: 08 92 99
If paying by cheque or postal order please make payable to - Arnold Bennett Society
Payment by Pay Pal should be to arnoldbennettscty@btinternet.com
Membership fees for 2012-2013 are: Individual membership: £12, Joint/family £14
Please add £1 to above is paying by Pay Pal and £3 to the above if living outside of the UK
However membership is being paid please complete the form above and send to the
Membership Secretary: Fiona Cole, 9 Penelope Close, Harbury, Warwickshire CV33 9JD