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CAMPAIGN FOR REAL ALE
Vale of the White Horse Branch
Join CAMRA now!

CAMRA
Membership Application Form

I/We wish to join The Campaign for Real Ale and agree to abide by the rules.

Please print out this form, fill in the relevant details, and send to:

The Campaign for Real Ale Ltd, 230 Hatfield Road, St Albans, Herts AL1 4LW


Title . . . . . . . . . . . . . . . . . . Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Forename(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of Birth . . . . . . . . . . . . . . . . . .

(Partner) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . Date . . . . . . . . . . .

Telephone No . . . . . . . . . . . . . . . . . . . . . . . Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(include STD code)

Single membership ..................................................................... £18
Under 26 and Over 60 (Retired)................................................ £10
Residents outside the European Union .................................... £22
Partner at the same address - all categories ............................ Add £3.00
Life membership and concessionary rates on request. These rates valid from 1 Jan 2005.  
Donations welcome ..................................................................... £

For three months free, please complete direct debit form below or:

Please charge my Access / MasterCard / Visa / Delta / Switch

Number . . . . . . . . . . . . . . . . . . . . . . . . . . . Name on Card . . . . . . . . . . . . . . . . . . . . . . . . .

Expiry Date . . . . . . . . . . . . . . Issue number for Switch cards . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(or phone 01727 867201 with your card details)

Direct Debit logo Instruction to your Bank or Building Society
to pay by Direct Debit

Name & full postal address of your bank or building society
To:-The Manager              
 
 
 
 

Name (s) of Account Holder (s)
 

Bank or Building Society Account Number
                                          

Branch Sort Code
                              

Reference Number
                                                                       
Originator's Identification Number
 
9  2  6  1  2  9
FOR CAMRA OFFICIAL USE ONLY
This is not part of the instruction to your Bank or Building Society

Membership Number

Name

Postcode


Please pay CAMRA Direct Debits from the account detailed on this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with CAMRA and, if so, will be passed electronically to my Bank/Building Society

Signature (s)
Date
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The Direct Debit Guarantee
(This Guarantee should be detached and retained by the payer)

  • This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society.

  • If the amounts to be paid or the payment dates change, CAMRA will notify you 10 working days in advance of your account being debited, or as otherwise agreed.

  • If an error is made by CAMRA or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.

  • You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.

 











[CAMRA Logo] 

 Copyright (C) 2000-2005, CAMRA Ltd

 Campaign for Real Ale

 Vale of the White Horse Branch

 Courtesy of Roy Bailey (West Berks. CAMRA)
    
 Last updated: 2005 Feb 15 

 Comments to: 
 geoffgrayer@aol.com 

 URL: 
 http://www.oocities.org/vowhcamra/memform.htm