When complete please send to Mr Michael Hormann,2 Stratton Place, Falmouth TR11 2ST
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Mr/Mrs/Miss/Ms |
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First names |
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Address |
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Post code |
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Telephone number Email address: |
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Family
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Single |£5.00 (please tick) |
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Name of your bank |
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Account number |
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Sort code |
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Please pay the sum of £ on the first day of March annually by standing
order until further notice to the credit of the Falmouth Civic Society at Sort code Commencing from………….. |
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Signature |
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In view of the potential for on-line fraud we have removed details of the Society's bank account from this form. By signing the membership application form and bank mandate you agree to the Society adding the details of the account on receipt of your application.