Print off, and post me !!!!

To: David Gudgeon, Hon Treasurer, 30 New House Park, ST ALBANS Hertfordshire, AL1 1UQ

Dear David, I would like to join the Old Verulamian Association.

Name: _______________________________________ Year left School_________

Address: _____________________________________ School House_________________

_____________________________________________

Annual Subscription is £ 10.00 ( renewable 1st. August ), payable by Standing Order.

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Please do not detach the standing order mandate or send to the bank but return the whole form to the Treasurer

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STANDING ORDER MANDATE

To...................................Bank    Bank’s Postal Address ...................................

..............................................................................................(inc  Post Code )

Please pay: The HSBC Bank, ST ALBANS Branch Sort Code 40 – 40 – 01

for the credit of: The Old Verulamian Association Account No. 02122995

the sum of £10 ( ten pounds ), on 1st August annually, commencing 200_

until further notice in writing, and debit my/our account accordingly.

Date.............      Signature(s) ....................................................

Name of Account to be debited................................. Account Number...............

Banks may decline to accept instructions to charge Standing Orders to certain types of account other than current accounts. Membership of the OLD VERULAMIAN ASSOCIATION is open to past pupils; present & past members of staff of the school