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Bedford Architectural, Archaeological & Local History Society

MEMBERSHIP APPLICATION FORM


After completion please send to the Treasurer

Mrs Margaret Carpenter
4 Harrington Drive
Bedford MK41 8DB.

NAME ..................................................................................................................

ADDRESS............................................................................................................

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PHONE............................................................

EMAIL..............................................................


SIGNED................................................................................................................

DATE...............................................................

Annual Subscriptions. Ordinary Member 14.00. Person under 25 years 12.00.
Person over 60. 12.00. Cheques should be made payable to BAALHS.
Please enclose SAE if you require a receipt.


GIFT AID DECLARATION.
If you are a UK taxpayer, please indicate by signing below so that we can claim gift aid.

I declare that I am a UK taxpayer and agree that the donations and subscriptions
I make be treated as Gift Aid from now and until further notice.


SIGNED.................................................................... DATE...................................