Online Joining Form Feb12 by VlMQV56

VIEWS: 10 PAGES: 2

									                          RICHARD III SOCIETY
                      MEMBERSHIP APPLICATION FORM

To:             Membership Department
                Richard III Society
                2 Field Hurst
                Langley Broom
                Langley
                Berks SL3 8PQ
                E-mail: wendy.moorhen@btinternet.com

I wish to apply for membership of the Society and agree to abide by the Constitution (this is available on the Society’s Website).
Notes for Completion
1. Tab through the form completing each section.
2. Save a copy of the form to your hard drive on your PC.
3. Attach your form to an e-mail and send to wendy.moorhen@btinternet.com or download it and post to the above address.

       Mr           Mrs       Miss         Other
      Forename
      Surname
      Full Postal Address


      Postcode
      Telephone Number
      E-mail Address
      Date of Birth


      Membership Category – please indicate which level of membership you require
                                                                                                 £           £ + 5% ‡
                 Full membership                                                                26.00          27.30
                 Family membership (all living at same address)                                 32.00           33.60
                 Senior citizen membership (over the age of 60)                                 20.00           21.00
                 Senior citizen family membership (all over age of 60)                          26.00           27.30
                 Junior membership (joining before 18th birthday)                               20.00           21.00
                 Student membership (+ 18 in full-time education)                               20.00           21.00
                 Academic subscription (The Ricardian & Bulletin)*                              26.00           27.30
                 Academic subscription (The Ricardian only)*                                    10.00           10.50
                 OVERSEAS MAILING CHARGE (TO NON-UK ADDRESS)                                      9.00           9.45
                 Donation to Society (optional)
‡ there is a 5% surcharge payable on Credit/Debit card and PayPal transactions. This should be added to your subscription rate as well as any
  overseas postal supplement.
* Academic subscriptions are for scholars and educational libraries who wish only to receive the Society’s journals, but not take an active part in
  the Society.

                                                               Payment Method
         Cheque payable to “Richard III Society”. Overseas members paying by non-sterling cheque or cheque not drawn on a UK
         bank should add the equivalent of £15 to cover exchange charges.


         Paypal – Log on to your PayPal account and select the Send Money option. Then select 'Payment for Services' option and
         enter the Society's e-mail address which is ricardianfunds@yahoo.co.uk. Enter the amount to be paid and specify GBP
         sterling. NB There is a 5% surcharge payable on PayPal transactions and this should be added to your subscription rate
         and any overseas postal supplement. Please complete the Message to Recipient box and enter 'New Membership' and your
         name. This is very important as it is the only way we can recognise the transaction and reference it with your application
         form.




February 2012                                                                                                                             Page 1 of 2
    RICHARD III SOCIETY – MEMBERSHIP APPLICATION FORM (continued)

                                                  Payment Method (continued)
ONLY COMPLETE YOUR CREDIT CARD DETAILS IF YOU ARE SENDING YOUR APPLICATION BY POST.
PLEASE DO NOT SEND CREDIT DETAILS BY EMAIL AS THIS COULD COMPROMISE THE SECURITY OF
YOUR CARD
    Credit/Debit Card: – MasterCard and Visa only. Please enter the following details:
         Card number
         Expiry Date
         Security Number - last 3 digits of number by signature panel on reverse
         Total sum to be charged - including 5% surcharge & any donation                  £

         Signature



Below are a number of questions that we invite you to answer. It would be very helpful if you could provide this information which
will contribute to the successful management of the Society and which will allow us to profile our membership.


Where did you find out about us?


Occupation/Profession of primary member


Please list all those included within your family membership. It would be helpful if you could also provide the ages of those under 18.




Please indicate below other relevant interests:
General Historical Interests
    Re-enactment/Living History                                      Drama
    Early music/choral                                               Military History
    Heraldry                                                         Early Art
    Needlework                                                       Costume
    Crafts                                                           Genealogy/Family History
    Archaeology                                                      Cultural Visits
    Coinage                                                          Dolls
    Food & cookery                                                   Local History
    Other (please specify)
Specific Historical Interests
     Political                                                       Social
     Legal                                                           Economic/Trade
     Rural                                                           Towns
     Guilds                                                          Life Cycle
     Military                                                        Foreign Affairs/International
     Architecture                                                    Religion
     Art                                                             Music
     Drama                                                           Literature & Books
     Royalty                                                         Gender Studies
     Other (please specify)



Do you belong to any other historical or related societies or organisations, for example a family history society, re-enactment society,
National Trust etc:? If so please specify:




February 2012                                                                                                                Page 2 of 2

								
To top