Membership Application Form
Please print this form, complete in BLOCK capitals and send to the address below.
You can buy membership online at our shop
Title:
Full Name:
Address:
City
County/State:
Post Code/Zip Code:
Country:
Telephone: (Including Country Code.)
E-mail Address:
Subscriptions
Please tick
Annual Individual membership £15.00 (ONLY £12.00 by Bankers Order - complete form below)
Tick
Life membership £125.00
Tick
Annual Corporate membership £150.00
Tick
I wish this donation to The Tree Register and all hereafter to be treated as a Gift Aid Donation.
Tick
Please send a cheque made payable to TROBI or complete the bankers order form below

 

BANKERS ORDER
To: The Manager, Bank Name

 

Bank Address

 

 

Bank Sort Code

Account No:

Please pay The Tree Register Account No.82859205 at National Westminster Bank plc, 81 High Street, Bedford MK40 1YN Sort code (60-12-45)

the sum of (in figures) £ 12.00............................ (in words) £ TWELVE

With effect from (date) ...................... and annually on the same day thereafter and debit my account accordingly until cancelled by me in writing to my bank.

Date: ...................................... Signed:................................................

 

Please return this Application Form with your cheque or completed Bankers Order to:
The Membership Secretary, The Tree Register, 77a, Hall End, Wootton, Bedfordshire MK43 9HL England