APPLICATION FOR MEMBERSHIP OF THE FIELD GUNNERS ASSOCIATION

Please complete and forward to:

Pete Ruddock

148 Highland Road

Eastney

PO4 9NH

Tel: 023 92 753897

E Mail:  Peters.catering@ntlworld.com 

Date Joining……………………………

Surname………………………  Initials……………………..   First Name……………………..

Partners First Name………………………………

Address where you would like correspondence sent:         Telephone No……………………….

…………………………………………………………        Mobile No…………………………..

…………………………………………………………        E Mail ………………………………

…………………………………………………………

Field Gun History…………………………………………………………………………………

………………………………………………………………………………………………………

Please complete all details and send both sections of the form to the above address

STANDING ORDER

The Manager……………………….……Bank Plc                Name of Account to be debited

………………………………………….……….                  ………………………………………

………………………………………………….                   Account No …………………………

………………………………………………….                   Sort Code …………………………...

Please Pay To:                        HALIFAX BUILDING SOCIETY

                                    175 – 177 Commercial Road

                                    Portsmouth

                                    PO1 1EA

For the Credit of:     The Field Gunners Association:

                                   Sort Code 11 – 06 – 15         Account No 00771634

The Sum of £10 immediately and subsequently £10 on the 1^st January each year thereafter, crediting the above account until you receive further notice in writing from me/us, and debit my/our account accordingly.

SIGNATURE………………………………….            SIGNATURE……………………………..

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