Medieval Pottery Research Group

Membership application form

(including current volume of Medieval Ceramics)

The following pages include four sections:

• Membership form
• Bankers Order form
• Additional information for overseas and institutional members
• Gift aid declaration

Subscriptions are due on February 1st each year.

Current subscription rates:

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To join: Please print out this form and return it, with your payment, to the address below.

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With the exception of all current members, cash and cheques are no longer accepted as a method of payment. New UK members can pay directly into the group's account by setting up a standing order (see Bankers Order Form below), or by making a BACS transfer. Different guidance is given for overseas and institutional membership (see below)

* I / we wish to become a *Personal Member (£ 20.00)/ *Institutional Subscriber (£ 25.00) to MPRG, paying by:
* standing order
* BACS

Signed .............................................................................. Date ...................................

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Bankers Order Form

For payments in sterling (GBP) our bank details are:

Please pay to: Medieval Pottery Research Group,
at The Royal Bank of Scotland, 13 Stonebow Centre, Lincoln LN2 1DQ,

the sum of £........... (..................pounds)

now, and on 1st February 20....., and thereafter on the same date each year until further notice from me.

Your name .....................................................................................Your account number ..............................................

Signed ........................................................................................... Date .............................................

This instruction cancels any previous order to MPRG (Please return to MPRG, not to your bank)

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Overseas members: additional information

If you wish to pay directly into our bank please contact the treasurer.

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Institutional Subscribers: additional information

Name and address of Subscription Agency (if used): ................ ...................................................................

Your purchase order number: ................................................................
Subscription will be renewed automatically each year with reference to this order number, if no new instructions.

Personal orders must be accompanied by payment. Institutional orders can be invoiced after delivery. Please also fill in our Gift Aid form.

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Gift Aid Form

We can claim tax back on your donation, at no extra cost to you, provided you are a UK taxpayer.

want the Medieval Pottery Research Group to treat all donations, including membership subscriptions, I have made since 6 April 2000, and all donations I make from the date of this declaration, until I notify you otherwise, as Gift Aid donations.

Signed ........................................................................................... Date .............................................

Send to:

Medieval Pottery Research Group,
c/o Museum of London Specialist Services,
46 Eagle Wharf Road,
London N1 7ED, UK

Last updated: June 2007

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