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Subscription form

To subscribe to the SCA Newsletter please complete the form (both parts) and send the first part to the address below &  the other to your Bank         

YOUR MEMBERSHIP NUMBER is critical, so please phone Dave on 01427 880 934 so that you  add the correct SCA reference to your Standing Order Mandate -  in the space for QUOTE MEMBERSHIP No. 

In order that you receive the Annual Newsletter in the future, you need to pay a subscription (Discount rate £5 ), to assist with administration and printing.  You may do this by sending a £25 cheque with this returns slip for five years  subscription  - or more [ ?yrs x £5].    

You may pay one year at a time by cheque or cash at a rate of £6 pa. -but we really would prefer you to get the discount by using a Standing Order

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Tick. _______ I have completed and dispatched to my bank the standing order mandate to receive the Annual SCA Newsletter. Date of first payment is  __________ .               

OR   

Tick. _______ I enclose a cheque for ____ years Sub. With a total cost of   £ ________ . @ £5 per annum.

 OR           Tick______ I enclose cheque £6 for one year subscription 

 Name ……………………………………                SCA No………………………… 

Course .............................................

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

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

Tel

e-mail  (use capitals please)............................................................

Please return this section to:  

Mike Williams,  [Treasurer SCA],  

4 Hardwick Court, Longthorpe, Peterborough, PE3 9PW

 

Bank Form

 

PLEASE SEND THIS PART TO YOUR BANK 

STANDING ORDER MANDATE  

  To ........................……..Bank/ Building Society  

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

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

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

 Please Pay:-

Bank

Branch

Sort Code

Lloyds

Biggleswade

30-90-79

Beneficiary’s Name

Account Number

Shuttleworth College Association

0613196

Amount

Amount in Words

£ 5.00

Five Pounds Only

 

Date and Amount of First Payment

       /         /

£ 5.00    Annually

To be Paid Annually

Please debit my account accordingly until further notice

Name of Account to be Debited

Account Number

 

 

Quote Membership No: SCA ……………………….
(Please quote th
is to show on Bank Statement)

Signature (s) …………………………………….