T.S. INDEFATIGABLE OLDBOYS ASSOCIATION

Annual Subscription Form for Full & Associate Members

Note all existing Members Subscriptions to be renewed on 1^st January each year.

Part 1.

Your Name (In full) ……………………………………………………………….…………….

(a) I enclose £15 to cover my annual subscription. (OAP over 65 yrs £10)

(b) I enclose a completed Standing Order for my future Annual Subscriptions.

or

(c) I enclose £65 for FIVE years Membership. (OAP over 65 yrs £45)

Part 2.

Standing Order

To; Name of your Bank: ………………………………………………………………………………

Branch Sort Code: …………………………………

Address of your Bank: ……………………………………………………………………………..

……………………………………………………………………………..

Please pay from my account No ……………………………………………………………………………..

The sum of £15 (Fifteen UK Pounds) on January 1^st …………………………… (Year), and thereafter on that date EACH YEAR, the sum of £15 (Fifteen UK Pounds) until cancelled or altered by me.

Into the account of : The Indefatigable Old Boys Association,

Lloyds Bank plc., (Branch Sort Code: 30.90.43 Account No: 000595463)

268, High Street, Bangor, Gwynedd. LL57 1RT.

Signed: …………………………….................................………………………

(Your signature)

Please return this form to: Tom Keyes 62/64: The OBA Treasurer.

4, Edison Drive,

Upton Grange,

Northampton.

NN5 4AB.

Email: tom.keyes@manor-bakeries.co.uk

Mob: (0044) 07748 105 450

Please state Full or Associate Member: …………………………………………………................................

Please add below your Indefatigable Dates and Contacts i.e. Home Address, Email address & Phone No.