Old Farnhamians’ Association

Membership Application/Renewal Form

Complete the shaded fields, print out the form, sign it in both the required places and then mail it to the Membership Secretary.

OFA Membership is £10 pa payable by standing order.

Complete the application below by filling in the shaded fields on your computer, then print the form and sign the banker’s standing order mandate. Mail to the Membership Secretary, who will register you as a member and, if you are to be an annual member, submit the bank mandate direct to your bank.

Overseas members without a UK bank account may be unable to make an annual standing order and an annual transfer into the OFA bank account may be the only way to pay the subscription. Please advise Tony Harland if this is how you will be making your payment.

Name

/ Years at FGS / 19to 19
I wish to apply for/*renew my membership of the Old Farnhamians’ Association.
I attach my standing order for the £10 annual subscription
Address: /
Signature October 12, 2018
Postcode / Email Tel

*delete as appropriate

Send this completed form, including the bank mandate below, to:
Brian Williams, 8 Trebor Avenue, FarnhamGU9 8JH.

STANDING ORDER MANDATE

To. Bank

Address

Post code

Please pay
For the
credit of
The sum of
Commencing / Bank / Branch title (not address) / Sorting code number
HSBC / Farnham, Surrey Branch. / 40 – 21 - 05
Beneficiary’s name / Account number / Quoting reference
Old Farnhamians’ Association / 8 / 1 / 0 / 7 / 9 / 1 / 3 / 1 / OFA SUB.
Amount / Amount in words / Name of account to be debited
£10.00 / Ten pounds only
and thereafter annually on 1st January until further notice in writing. / Account number (8 digits)
Signature (s)...... Date 12 October 2018
NOTE: The Bank will not undertake to:
  1. Make any reference to Value Added Tax or pay a stated sum plus VAT, or other indeterminate element.
  1. Advise remitter’s address to a beneficiary.
  1. Advise the beneficiary of inability to pay.
  2. Request the beneficiary’s banker to advise the beneficiary of receipt.
  3. Accept instructions to pay as soon after the specified date as there are funds to meet the payments if funds are not available on the specified date.