Please print out this form and send it with your payment to the Membership Secretary

Membership Application Form - Military Historical Society

I wish to join the Military Historical Society.  I agree to my name and address
being held on computer for administrative purposes.

Title           ________________________________________________

Name        ________________________________________________

Address    ________________________________________________

_________________________________________________________

Postcode    __________________Telephone _____________________

Email          ________________________________________________

Interests     _________________________________________________

__________________________________________________________

If you pay UK Income Tax we can reclaim one third of your subscription from the
Inland Revenue.  Please tick  to confirm that you wish the society to reclaim tax
on your subscription. 
□ (please tick) and Sign  ____________________________________

Important Notice: You must pay an amount of income tax or capital gains
tax equal to the tax we reclaim on your donations (25p for every £1 you give).

BANK STANDING ORDER

To (Bank)     _________________________________________________

Branch Address  ______________________________________________

___________________________________________________________

Your Branch Sorting Code  ______________________________________

Your Account No.    ____________________________________________

Please pay the Military Historical Society at (bank details will be completed by
the Society's Treasurer)

____________________________________________________________

____________________________________________________________

Society Bank Sorting Code  _______________Account No ______________

£ _________  (in words) _________________________________________

forthwith and annually on 1st January.

Your Signature   ________________________________________________

Date                   ________________________________________________

Please send this completed form to the Membership Secretary,
c/o 5 Cecil Aldin Drive,  Purley on Thames, TILEHURST, RG31 6YP