We are pleased that you wish to join Stroud Rambling Club so please print out these 2 pages and send page 1 to the address below.
We would like you to pay by standing order to cut down on postage and administration costs. It is safe and you can cancel it at any time.
Please fill in page 2 and take it to your bank or use online banking and set up annual payments to:
Stroud Rambling Club Account no: 00030987 Sort Code: 30-98-29 add your name in ref box
or if you are unable to pay by this method please enclose cheque made out to: Stroud Rambling Club
New Membership Application Form
Single Membership £10.00 inc p&p
Joint/Family Membership £17.50 inc p&p
Concession membership (over 65) £6.00 inc p&p
Joint Concession (over 65) £12.00 inc p&p
One single & one concession £16.00 inc p&p
I wish to be come a member of Stroud Rambling Club & am paying by
Standing Order o internet banking o cheque o
Name_________________________________________________________
Address_______________________________________________________
______________________________________________________________
Postcode__________________ Telephone_________________________
e-mail __________________
Please send completed form & cheque to :
Mr J Fowler, 133 Stratford Rd ,Stroud, Glos, GL5 4AN
Data Privacy Your details will be held on the club mailing database unless you apply in writing to the contrary
We will not divulge any information about you without asking you first.
Disclaimer I declare that I will abide by the rules of the constitution of Stroud Rambling Club and accept that Stroud Rambling Club or it's agents and it's leaders, are not liable for any loss, damage or claim against them which may arise as a consequence of my participation in any of it's activities, and that I am in a fit state of health to undertake such activities.
Signature- - - - - - - - - - - - - - - - - - - Date- - - - - - - - - - - - -
Standing Order Authority Please complete and take to your own bank
To: .............................………………………………............... (your bank)
................................................................................................... (its address in full)
...................................................................................................
...................................................................................................
Sort code ……-……-…… (your bank)
Account name ...........................................................……….. (your name)
Account number ................................... (your account)
Your contact telephone number.........................
Please make payments as follows to the debit of my account:
Payee: Stroud Rambling Club
Sort Code 30-98-29 Account No:00030987
At the Lloyds TSB Bank plc,12, Rowcroft, Stroud, Glos , GL5 3BD
Amount: Concession £ 6.00 Six Pounds. ................. o
Single £ 10.00 Ten Pounds only o
Joint Concession £12.00 Twelve pounds only o
one Single & one Concession £16.00 Sixteen Pounds only o
Joint/family £17.50 Seventeen Pounds Fifty pence o
Quoting the reference: ...Your Name ..+..SRC SUBS
To be paid on .......................... and thereafter annually on the first day of October Please insert 1st payment date
until this order is cancelled by me in writing.
This order cancels any previous orders to the same payee.
Date .................... Signature ........................................................