Annual Subscription

UK
Overseas
Student (for up to 3 years)
Joint Rate
Corporate

£20.00
£30.00
£10.00
£25.00
£50.00

Mrs Rosemary Culley
22 Belmont Grove
Havant, Hants. PO9 3PU
Tel: 023 9248 1073
E-mail: mem.sec@jasoc.org.uk

Subscription Payment Methods: Cash, cheque, bank standing order, credit card.
Note: These may now be made via the UK's Gift Aid Scheme.

GIFT AID DECLARATION

I want the Jane Austen Society to reclaim tax on all subscriptions and donations I have made since 6th April 2000, and on all donations and subscriptions I make from the date of this Declaration until I notify you otherwise.
I declare that I am a taxpayer and I have paid an amount of tax that at least equals the tax deducted from any such subscription or donation.
I agree that I shall advise the Treasurer of the Society or any other named officer should I cease to be a United Kingdom taxpayer.

Full name............................................................................................................................

Signature............................................................  Date...........................   Reg. Charity No 1040613

ANNUAL MEMBERSHIP

It is hoped that new and existing members will apply for or renew their membership by completing one of the forms below and returning it to the Membership Secretary: Mrs R Culley, 22 Belmont Grove, Havant, Hants. PO9 3PU

Name (PLEASE PRINT)....................................................................Title (Prof/Dr/Mr/Mrs/Ms)............
Address............................................................................................................................................
......................................................................................................Post code...................................
Phone No..................................................  E-mail...........................................................................

I enclose a cheque for £..............payable to the Jane Austen Society or
I wish to pay £.............by Mastercard/Visa/Amex number ............  ............  ............  ............   Expires......../........        Authorisation code (last 3 nos. on reverse of card)..................
Switch Card/Issue No...............

BANKER'S ORDER

To......................................................................Date.............................
Address of Bank.................................................................................................................................
Post Code of Bank.......................... Account No............................... Sort Code .........  .........  .........

(Please give name and address of your own bank, and your account number)

Please pay to the Jane Austen Society, at Lloyd's Bank plc, 40 High Street, Alton, Hampshire GU34 1BQ
(Account No. 0097714    Code 30-90-15) the sum of £...............on (date).............................. and continue paying that amount annually until further orders in writing from me.  Please debit my account with you for such payment.
This cancels all existing orders in favour of the Society.

Signature ......................................................................................................

Full name ..........................................................................................................................................
Address...............................................................................................................................................
.................................................................Post code ........................