Friends of Hagg Wood

Membership Application Form for the Year 2010/2011

Subscriptions: Full - £4.00, OAP/Student/Unwaged - £3.00, Family/Couple: - £6.00

Please enrol me/us as a Member of Friends of Hagg Wood until 31^st May 2011

I enclose cash/cheque made payable to ‘Friends of Hagg Wood’ for:

£4 (Full) £3 (OAP/Student/Unwaged) £6 (Family/Couple)

I also enclose a donation of £ ........

Name ................................................................ ....... Signature ........................................................

Address ............................................................................. Post Code ..........................................

Telephone Number (optional) ...................................... E-mail (optional) .................................…..

Please return to Elaine Hudson, 64 Kerver Lane, Dunnington, York Y019 5SH as soon as possible.

If you would like to make this and future payments by Standing Order to save having to

remember to pay each year, please complete the following form and return the whole of this

sheet to Elaine Hudson. If you can include an annual donation, this would be greatly appreciated.

Standing Order Form

To the Manager .............................................................(Bank) Sort Code --

............................................................................................................................................................

......................................................................................................... (Bank Address and Post Code)

Customer Name(s) .................................................... Account Number......................................

Signatures(s) ..............………………………………………………………..................................

Please set up the following Standing Order and debit my/our account accordingly:

Please pay to the following account: “Friends of Hagg Wood”, Account number 36543586,

with National Westminster Bank plc, York City Centre Branch, 1 Market Street,

York Y01 9YH, Sort Code 56-00-70, the sum of £......... (.............. pounds (in words))

as soon as possible and on 31^st May every year from 2011 onwards until further notice.

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