OLD ASHBEIANS
Membership Request Form
Please enrol me as a member of the Association.
| Full name: | |
| Year of leaving: | |
| Home address: | |
| Postcode: |
Subscriptions become due on 1st August. It would be most helpful if members with bank Accounts could fill in the slip below and pay their subscription by Bankers' Order.
Mrs CM Walmsley
3 Paulyn Way
Ashby -de la- Zouch
Leics. LE65 2NS
01530 413797
Mr J B Exton
103 Leicester Road
Ashby -de la- Zouch
Leics. LE65 1DF
01530 413596
Bankers' Order
The Old Ashbeians' Assocation
| Date: | |
| To (Bank name): | |
| Bank address: | |
| Postcode: |
Please pay on receipt of this order/annually and on the first day of August* to HSBC Bank, Market Street, Ashby de la Zouch (40-08-31) the sum of £3.00 for the credit of the Old Ashbeians' Association.
Please cancel my existing order in favour of the above Association.
Signature:
* delete as applicable
