Suffolk Institute of Archaeology & History
Membership Application form

Please complete, print and return to the Hon. Membership Secretary,
Nigel Maslin, 3 The Courtyard, Sudbourne Park, Orford, IP12 2AJ

Name Titles
Address
Postcode

Type of Membership (Please select)

You are encouraged to pay your subscription by Standing Order. If you wish to do so, please complete and sign the form below and submit it with your application to the Hon. Membership Secretary.

If you pay UK income tax at the standard rate, you are encouraged (at no extra cost to yourself) to complete a Gift Aid Declaration, by which the Institute is able to recover tax on subscriptions. A Gift Aid form is available by clicking here.

STANDING ORDER to Bank PLC Sort Code
ADDRESS
ADDRESS

Please pay to Lloyds Bank PLC, 8 Thoroughfare, Woodbridge (Sort Code 30-99-85) for the credit of the
SUFFOLK INSTITUTE OF ARCHAEOLOGY AND HISTORY a/c no. 0156032

the sum of (in words)
NOW and on the first day of January each year until further notice.

SIGNATURE NAME
................................................
Account Number Address
DATE

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