THE DRASCOMBE ASSOCIATION

MEMBERSHIP APPLICATION FORM
Web Version


To: John Rigby, 6 Tern Close, Widnes, Cheshire WA8 9RQ, England

Name...........................................  Telephone number...............

Address.........................................................................

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email................................................................................


Boat type.............................  Boat name...............................
or
I do not own a boat but my interest in Drascombes is............................

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I normally trailer sail and my usual sailing waters are.........................

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or

I keep my boat afloat at........................................................




 For overseas rates please see here.

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THE DRASCOMBE ASSOCIATION

STANDING ORDER MANDATE



To......................................................Bank

Address.....................................................

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Please pay toLLOYDS TSB BANK PLC, Totnes Branch 


Sort Code Number30-98-69


Account Number0035 5875 


For the credit of the THE DRASCOMBE ASSOCIATION 


the sum of£10 (ten pounds only) 


the first payment to be madeon receipt of this mandate 


and THEREAFTER on1st March each year 



until you receive notice from me/us in writing, debiting my/our account accordingly.

This instruction cancels any prior instruction made by me/us in favour of the Drascombe Association.
	 

Account name.....................................  Account number...............

Signature(s).....................................

            .....................................  Date.........................