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MEMBERSHIP APPLICATION FORM Please enrol me as an Ordinary */ Reduced Rate */ Family * member of the Southern Electric Group |
| NAME: | |
| ADDRESS: | |
| COUNTY (or district): | |
| COUNTRY: |
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| POSTCODE (or zip-code): | |
| TELEPHONE NUMBER: # | |
| EMAIL ADDRESS: # | |
| OCCUPATION: # | |
| AGE: (If applying for Reduced Rate) | |
| Where did you first hear about the Southern Electric Group? # |
I enclose a crossed cheque / p.o. made payable to ‘Southern Electric Group’ for: |
£ __________ |
* which includes a voluntary donation towards preservation activities of: |
£ __________ |
| Signature: | ___________________________________________________________________ |
| Date: | _________________________ |
* Delete if applicable # Please note that Information under these headings is not stored on computer files, which contain names, addresses and membership renewal details only. By signing you are agreeing to abide by the Group’s constitution. |
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I would like any donation I
have made on this form and all donations in the future to be through Gift Aid until I
notify otherwise. (UK tax payers ONLY!)
To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year. |
Signature: |
___________________________________________________ |
Southern Electric Heritage Limited A company registered in England no. 3499370. |
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MEMBERSHIP SUBSCRIPTION RATE ORDINARY £14:00 (Available to all) OVERSEAS SUBSCRIPTIONS: Please add to your subscription £0.50 for delivery to European Union countries, £1.50 to non EU European countries or £3.00 for other countries, if taking out an overseas subscription. This to cover the extra postage costs. All remittances to be in sterling, please. Forward the completed application by letter mail to the Membership Secretary at: Membership Secretary, |
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| Find out more about the SEG or about membership . |
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This page updated
4th March 2008 by Colin Duff. |
