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Monumental Brass Society

 

GIFT SUBSCRIPTION FORM

 

 

 

 

DETAILS OF PERSON GIVING GIFT

Full name (Mr/Mrs/Miss etc) 

Degrees, titles etc.

Address 

Telephone 

Email address

DETAILS OF RECIPIENT

Full name (Mr/Mrs/Miss etc) 

Degrees, titles etc.

Address 

Date of birth (if under 18 years) 

Telephone 

Email address

Additional member at above address:

 

Full Name (Mr/Mrs/Miss etc)

 

Renewal details to be sent to:

Sender/recipient (delete as appropriate)

 

Signature 

 

 

..............................................................

 

Date 

This completed form together with your subscription should be returned to:

Hon Secretary

Monumental Brass Society

Christian Steer

8 Shefford Lodge

Link Road

Newbury

Berkshire RG14 7LR

Click here for the Bankers Order form as a web page which can be printed.

Use the browser 'Print' button or the menu 'File .. Print' to print this web page

Copyright © 2002 Monumental Brass Society (MBS)

Page last updated 05 November 2011