Please complete this form and return it to: The Branch Treasurer, Mr A.J.R. Worton, 30 Manor Close, Consett, Co Durham DH8 8BN (telephone: 01207 581 680) with your cheque payable to “Royal Society of of St. George, Northumbria Branch” or the completed Bankers order, for registration.

Name: ........................................................................................................... Signature: ..................................................................

Name: ................................................................... ........................................Signature: .................................................................

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

………………………………………………………………………………………........................................Post Code: ..............………

Telephone No: .................………................................ Email Address: …………………………………..Date: ………………….....

FULL ANNUAL SUBSCRIPTION – YEAR 2007 /2008

Single applicant: £22.50
Joint applicants: £28.50

The above gives full membership of The Royal Society of St. George and Northumbria Branch (which includes the three copies of the Society’s journal ‘England’s Standard’ which are published each year) and allows the member full participation in and information concerning all The Royal Society of St. George events.
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By completing an annual bank standing order you can give us long term support to help The Society plan ahead. Do please remember to sign and date the form.

BANKERS ORDER FORM:

To the Manager: ................................................…………………………………………………….................................................Bank Plc

Full address of your bank: ..........................................................................................…………………….....................................................

……………………………………………………………………………………….. ............................................Post Code: .............……

Please pay to: ………………………………………...........................Bank Plc, at: …………………………………………..........................

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

now and on (date): ...................... ………………………………….........................................................annually until cancelled the sum

of £..............................................................................................................(pounds sterling in words)

to the credit of “Royal Society of St. George, Northumbria Branch”

Account Number: ................................................................ ....................................Sort Code: ..............................................

My Account Number is: ............................................... .........................................Sort Code: .........................................................

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

Signature: ......................................................................................................................Date: ......................................................................