The Jane Austen Society of the UK


Northern Branch : Membership Application

Our annual membership fee is £5 (or £8 for two members living at the same address). This entitles members to the three editions of our magazine Impressions and reduced entrance fees to all our events.

If you would like to apply for membership of the Branch, please complete the form below and return it to our Membership Secretary, Ann Macleod, at the following address: 237 Chanterlands Avenue, Hull, East Yorkshire HU5 4DH.

PLEASE COMPLETE IN BLOCK CAPITALS

Name:

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(please state Mr/Mrs/Miss/Ms etc)


Address:

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Postcode:

...............................    Tel No: ..........................................

E-mail:

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Date:

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Please make cheques payable to 'The Jane Austen Society (Northern Branch)'

GIFT AID DECLARATION

I declare that I am a UK taxpayer and would like the Jane Austen Society to reclaim tax on all my subscriptions and donations until further notice.


Signature..............................................................................    Date..................................


Please note that this membership is for the Northern Branch only, and does not include membership of the main Jane Austen Society. Similarly, membership of the main Society does not include membership of the Branch, nor entitlement to reduced fees at any Branch event.