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Steam
Plough Club
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I
wish to become a member of the Steam
Plough Club and enclose the remittance shown below.
I agree to the contribute to the assets of Steam Plough Club in the event of it
being wound up, that sum being limited to £1 by guarantee
I enclose herewith £15.00 Annual Subscription.
* I wish
to pay my Annual Subscription by Banker's Order and have completed
the Banker's Order Form below.
*Delete as applicable
(BLOCK CAPITALS PLEASE)
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| Name............................................................................................................................................. |
| Address.......................................................................................................................................... |
| e-mail
address................................................................................................................................ |
| Occupation..................................................................................................................................... |
| DO YOU OWN AN
ENGINE? YES/NO |
if Yes add details |
| Make........................ |
Type........................ |
No......................... |
Reg No............................... |
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Signed............................................................................................. |
Date.................................... |
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I would like details of the Life Membership scheme. Y/N
Cheques, Money Orders, etc. must be made payable
to the STEAM PLOUGH CLUB and forwarded, with this form to
James Hodgson, Membership Secretary,
Fallow House,
Rookery Lane,
Broughton,
Stockbridge,
Hampshire SO20 8AZ
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BANKER'S STANDING ORDER
(BLOCK CAPITALS PLEASE) |
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To The Manager |
Date........................ |
Bank.................................................................... |
| Branch Address............................................................................................................................. |
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Please pay the sum of £15.00 (Fifteen pounds) being
the annual subscription NOW and on the 5th DAY OF JANUARY ANNUALLY THEREAFTER to HSBC Plc, St. ALBANS, HERTS. (40-40-01), for credit to the account of
THE STEAM PLOUGH CLUB (account no. 10784729) until further notice from me in
writing.
This cancels any existing order made by me in the Club's favour.
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| Signed.......................................................... |
Account Number.................................................. |
| Name.............................................................................................................................................. |
| Address.......................................................................................................................................... |
|
....................................................................................................................................................... |
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Bank please quote this number when making payments.
MEMBER - It is essential that you return this form to the Membership
Secretary when
complete and NOT to your Bank.
*Delete as applicable and initial alteration.
Steam Plough Club is a private company limited
by guarantee,
Registered in England and Wales, Company No. 07750299
Steam Plough Club, Wayland House, 20 Smithers Lane, East Peckham, Tonbridge,
Kent, TN12 5HT |
