APPLICATION FOR MEMBERSHIP Please return to –

Stewart Edge, 

Membership Secretary,

The William Cobbett Society.

28 Beavers Road,

Farnham. Surrey GU9 7BD

The Membership subscription is £l0.00, payable on

1st October, either by cheque (payable to:

The William Cobbett Society) or by Standinq Order.

BY CHEQUE: If you join mid-year, your first payment
will be pro rata to the nearest £1.00 until the following
1st October.

BY STANDING ORDER (preferred, please !): Enrolment is
immediate and you will enjoy free membership until
your first payment, due on the following 1st October.

I/We wish to Join The William Cobbett Society

NAME(S)capitals please:…………………………………….

ADDRESS:…………………………………………………….

………………………………………………………………….

EMAIL,please!..…………………………………..

STANDING ORDER

Standing Order set up by banking on-line? YES / NO*

*Delete as appropriate

STANDING ORDER MANDATE

Please pay on first day of October each year until further notice the sum

of £10.00 (ten pounds) commencing on 1^st October 20__  (enter year)

Quoting Reference (Enter Initials & name)

—————————————————————–

Payments to be made to William Cobbett Society,

Acc. No. 59454466 at National Westminster Bank, 

Farnham (Sort Code 60-11-08)

Your Bank Name

Your Bank Sort Code

Your Acc. Name

Your Acc. No.

Signature  ……………………………………Date  ……/……/……