MEMBERSHIP RENEWAL by gabyion

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									NMM Membership
Joining FORM

                  Name(s):
                                       …………………………………………………………………………………………………

                                       …………………………………………………………………………………………………
                   Address:
                                       …………………………………………………………………………………………………

                                       …………………………………………………………………………………………………
                 Post code:                                              Telephone no:
                                       …………………                                                  ……………………………………
          E-mail address:
                                       …………………………………………………………………………………………………
         Membership no:
                                       …………………………………………………………………………………………………


                 NMM Membership rates: Single £40                     Joint £55     Family £65          Concessionary £28         

         Flamsteed Astronomy Society: Single £30                   Joint £50  Concessionary £28 

                              NMM Art Group: Single £25           
                                                                                                           Total: £………….......

Method of payment:
                                       ● Direct debit – contact the Membership Office
                                       ● Cheque – drawn on a UK bank, payable to the National Maritime             Museum.
                                       ● Credit / Debit card – please complete and sign the section below.


   Visa        MasterCard             Solo          Switch        Maestro       Other (please state)

                                                                                                /                                /
          credit/debit card number                                                            Start date               Exp date



     ……………………………………………………………                                               …………………………………………………………
                         Name as on credit/ debit card                                        Cardholder’s signature



Security code (last 3 digits on the signature strip)                              Issue number (Switch and Maestro cards only)


Card holder’s telephone number:…………………………………………….



                                                                                                    Please return completed form to:

                                                                                                                   Membership office
                                                                                                           National Maritime Museum
                                                                                                                  London, SE10 9NF
                                                                                                            membership@nmm.ac.uk
                                                                                                                      020 8312 6678

								
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