Docstoc

MEMBERSHIP RENEWAL

Document Sample
MEMBERSHIP RENEWAL Powered By Docstoc
					NMM Gift Membership

Recipient’s details
                  Name(s):           …………………………………………………………………………………………………

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

                                     …………………………………………………………………………………………………

                Post code:           …………………………..                            Telephone no:         ……………………………………

         E-mail address:             …………………………………………………………………………………………………

           Your details
                      Name:          ………………………………………………………………………………………………….

                  Address:           ………………………………………………………………………………………………….

                                     ………………………………………………………………………………………………….

                 Postcode:           ……………………….....                           Telephone no:       ……………………………………..

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

*Flamsteed Astronomy Society: Single £70                             Single Concessionary £56        Joint £105   

                      *NMM Art Group: Single £65                     Single Concessionary £53 

*Flamsteed and Art Club membership includes NMM membership
                                                                                                              Total: £………….......

Who shall we send the Gift Membership to

Please send the welcome pack to : Me                      or       Recipient 

Date you would like the welcome pack to arrive…………………

Please send the renewal notice to : Me  or Recipient 
Method of payment  Direct Debit – Please complete the Direct Debit section overleaf.
                      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                           or email to:
                                                       National Maritime Museum                    membership@nmm.ac.uk
                                                       London, SE10 9NF
                                                                              Instruction to your
                                                                              Bank or Building Society
          National Maritime Museum
                                                                              to pay by Direct Debit
Please fill in the whole form including official use box using a ball
point pen and send it to:                                                     Originator's Identification Number

                                                                                 5        5         5         9         0          0
 National Maritime Museum                                                        0
                                                                              Reference

 Greenwich
 London
 SE10 9NF
                                                                                            FOR National Maritime Museum OFFICIAL USE ONLY
                                                                                        This is not part of the instruction to your Bank or Building Society.


Name(s) of Account Holder(s)




Bank/Building Society account number

                                                                              Instruction to your Bank or Building Society
                                                                              Please pay the National Maritime Museum Direct Debits from the
Branch Sort Code
                                                                              account detailed in this Instruction subject to the safeguards assured by
                                                                              the Direct Debit Guarantee. I understand that this Instruction may remain
                                                                              with National Maritime Museum and, if so, details will be passed
Name and full postal address of your Bank or Building Society                 electronically to my Bank/Building Society.
To: The Manager                                      Bank/Building Society


Address                                                                        Signature(s)




                                         Postcode                              Date



                            Banks and Building Societies may not accept Direct Debit Instructions from some types of account
                                                                                                                                                                DDI3




                                            This guarantee should be detached and retained by the Payer.

                                                The Direct Debit Guarantee
      This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
      If there are any changes to the amount, date or frequency of your Direct Debit the National Maritime Museum will notify you 20
      working days in advance of your account being debited or as otherwise agreed. If you request the National Maritime Museum to
      collect a payment, confirmation of the amount and date will be given to you at the time of the request
      If an error is made in the payment of your Direct Debit, by the National Maritime Museum or your bank or building society you
      are entitled to a full and immediate refund of the amount paid from your bank or building society
      If you receive a refund you are not entitled to, you must pay it back when the National Maritime Museum asks you to
      You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be
      required. Please also notify us.

				
DOCUMENT INFO