The Bristol & Gloucestershire Archaeological Society - BGAS · The Bristol & Gloucestershire...

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The Bristol & Gloucestershire Archaeological Society

Transcript of The Bristol & Gloucestershire Archaeological Society - BGAS · The Bristol & Gloucestershire...

Page 1: The Bristol & Gloucestershire Archaeological Society - BGAS · The Bristol & Gloucestershire Archaeological Society! ! &' $ $$ ( #" #&! = =,3,8 ,=?:9 :9:=,=D 090=,7'0.=0?,=D

The Bristol &GloucestershireArchaeological

Society

MEMBERSHIPAPPLICATION FORM

For further information about the Society, contact:

Dr Graham Barton,Honorary General Secretary

Bristol & Gloucestershire Archaeological Society1 0 Paddock Gardens

LonglevensGloucesterGL2 0ED

01 452 41 [email protected]

Interested in local history and

archaeology?

l ively, stimulating talks by local andnational experts;

visits to places of historical andarchaeological interest guided byexperts;

articles on the latest research;

access to an extensive l ibrary of booksand periodicals;

day conferences;

residential trips to the UK and abroad.

For more information see our website:

www.bgas.org.uk

Charity No. 20201 4

Join l ike-minded individuals and enjoy:

Ordinary members receive our Newsletter eachFebruary and September which contains ful ldetai ls of Society activities. You can attend anylecture or visit which we organise. You wil l alsoreceive our annual journal (the Transactions)every Spring.

Associate membership is open to anyone livingat the same address as a member. You canattend any lecture or visit which we organise butwil l not receive your own copy of our publications.

Institutions receive the Transactions and maychoose to have the Newsletter.

Record Series members have all the benefits ofordinary membership and also receive a RecordSeries volume of original sources for the history ofGloucestershire published each Autumn.

Page 2: The Bristol & Gloucestershire Archaeological Society - BGAS · The Bristol & Gloucestershire Archaeological Society! ! &' $ $$ ( #" #&! = =,3,8 ,=?:9 :9:=,=D 090=,7'0.=0?,=D

Membership Application

Please send this form and completed

mandate or cheque (payable to Bristol and

Gloucestershire Archaeological Society) to

The Membership Secretary, Mrs. S. Swart,

The Winnats, Kestrel Close,

Cheltenham, GL53 0LQ

Name .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Telephone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gift Aid Declaration

Please treat al l donations (includingmembership subscription) I may maketo the Charity from now on as Gift Aiddonations and reclaim tax thereon.

To the Manager:

(Name ofBank or Building Society)

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

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Post Code. . . . . . . . . . . . . . . . . . . . . .

Account Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Account Number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sort Code: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please pay on receipt of this instruction and

on 1 January in each subsequent year unti l

further notice, an annual subscription of

£. . . . . . . . . . . . . . . . . .

(please insert the amount of your subscription)

to the account of:

Standing Order Mandate

I would l ike to join the Bristol &

Gloucestershire Archaeological Society as

UK

Ordinary

Associate

Institutional

£1 0

£5

£1 0

Basic Rate inc. Record Series

£25

£20

£25

Overseas

Ordinary

Institutional£1 3

£1 3

Basic Rate inc. Record Series

£33

£33

Tick type ofmembership required.

Bristol & Gloucestershire Archaeological

Society

Barclays Bank plc.

Leicester LE87 2BB

Bank Code 20-1 3-67Account No. 001 96460

This instruction cancels any previous

instruction concerning the Society.

Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I confirm that I am a UK tax payer andunderstand that if I pay less Income Taxand/or Capital Gains Tax than theamount of Gift Aid claimed on all mydonations in that tax year it is myresponsibi l ity to pay any difference.

I undertake to notify the Society, if I :

want to cancel this declaration;

change my name or home address;

no longer pay sufficient tax on my

income and/or capital gains.

Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Forenames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

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Email . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Gift Aid is reclaimed from the tax you pay forthe current tax year. Your address is neededto identify you as a current UK taxpayer. Inorder to Gift Aid your subscription, you musttick the boxes below.