Please print out this form, fill it in and send, with remittance to:
John Ormiston
“Appletree Cottage”
Lower Chase Road
Swanmore
Southampton SO32 2PB
(Please make cheques payable to "Leyland Society Ltd.")
On receipt of your form, you will be sent a package containing where available, back numbers of'Leyland Torque' to the beginning of your subscription year.
Full Name: ……………………………………………………………………………………………….
Address: ………………………………………………………………………………………………….
……………………………………………………………….. Postcode: ……………......
Email Address: …………………………………… Telephone No: …………………………………….
Your Main Interests (Please Ring):
Leyland Vehicle OwnerYES/NO Employee/ex-employeeYES/NO
Interested in:BusesLorriesFire EnginesEverything Leyland
Periods of interest:1896 - 19271928 - 19451946 - 19681969 to date
Can you contribute Articles or Photographs for the Society Magazines?YES/NO
Other special Leyland interests......
Members : If you do NOT wish us to disclose your address and/or telephone number to other members, please indicate with an 'X' .....
I hereby apply for membership of the Leyland Society for the period to 31st July next, and enclose my remittance for £...... (If joining after 1st April, your subscription will last until July in the following year.)
Membership-UK £27.00,EU £33 (Sterling);Overseas: (outside EU) £38 (Sterling) by PayPal.
I agree to be bound by the terms of the Memorandum & Articles of Association together with the Bye-laws of the Society (for a copy, please send a large S.A.E to the Membership Secretary) or other regulations which may be made by the Committee. The Leyland Society is a company limited by guarantee - The Leyland Society Ltd. (Registered office: 'Valley Forge', 213 Castle Hill Road, Totternhoe, Dunstable, Beds, LU6 2DA). Registered in England No. 4653772.
Signed...... Date......
Gift Aid Declaration
If you are a UK taxpayer, we can claim extra money from H M Government on top of your Subscription/ Donation. It won't cost you a penny, so if you would like to help, just sign the Declaration below.
I wish The Leyland Society Ltd. to treat all donations including subscriptions that I make from the date of this declaration, until I notify you otherwise, as Gift Aid donations. I am a UK taxpayer.
Signed...... Date......