THE ASHCOMBE DORKINIAN ASSOCIATION

We wish to become members of The Association.

Please complete ALL sections and return the ENTIRE page

To The A.D.A. Membership Secretary: Ted Hazelden, 23 Dunsdon Avenue, GUILDFORD, GU2 7NX,
so that we may record details AND inform your Bank.
   (We will return a copy for your records)

Your Titles    …………                       and ……………

Your First Names …………………….and ……………………….

Your  Surname      … …………………and …………………….
Your School Surnames, ……  ………and…………………….

Years at School  From …….…to…....and From ………  to ….…..

 

Email Address:…………………………………                              

 

We wish*/do not wish* our email address to be published in the Association Membership List

* Please strike out as appropriate

 

Telephone number …………………………

(This is for office use only and will NOT be published)

This section will go to your Bank

(Your) Title……
(Your own)Name/Initials :…………………(Your own) Surname……………………

(Your own) Address : …………………………

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

       Post Code:        …………………

We wish to pay our subscription to The Association by Bank Standing Order

 

 

 

 

 

 

 

 

                                                                                                                                   

 

 

 

 

 
Bank Standing Order Mandate.

    To (Your Bank)                                              (Branch)

 

Please Debit my account

 

Bank sort code                                         Account number

 

 

Your Account name

 

 

 

Please pay to The Ashcombe Dorkinian Association.  Reference

To be inserted by MemSec

Lloyds Bank Sort code  30-92-70  Account       

 

First Payment   £15.00 Fifteen pounds upon receipt of this order  for 

subscription to  31st August 2011.

 

And then £15.00 Fifteen pounds on 1st December 2011

 

And thereafter £15.00 ANNUALLY on 1st December each year

until further notice.

 

Your Signature                                                   Date

 

NewJointMar10

 

 

 

 

 

We look forward to welcoming you

as Members of the Ashcombe Dorkinian Association.

 

Membership subscription rates:

Member £10.00 per annum

Joint Members £15.00 per annum

 

Our year runs from 1st September to 31st August.

 

Two Newsletters are published each year, Spring in March/April and Autumn in August/September, with a Winter News Sheet in December.

Our Annual General Meeting is usually held at The Ashcombe School in October each year followed by a Reunion Luncheon. Just as in the year just

past, this current year both events are being held at the Reigate Manor Hotel, Reigate Hill, Reigate.

 

The next AGM and Reunion Lunch will be held on Saturday October 9th 2010

Spouse/guests are welcome.

 

 

Notes

 

We would much prefer to receive subscriptions as Standing Orders.

 

It is of great assistance to The Association’s administration, all volunteers, if you arrange to pay your subscription by Standing Order.   Standing orders are set up to automatically pay subscriptions on 1st December each year.   This is an instruction to your bank to pay the subscription.   The amount can only be altered by you, the account holder.   The order can be cancelled by you at any time. There is then no need to bank cheques and there is no need for to remember to write a cheque or incur postage.

 

Please complete the details overleaf and return as requested, we will then insert the Ref No.  and send the instruction to your bank.   We will return a copy for your retention

 

If you have access to Internet banking you can, of course, set up a standing order yourself.   But you will need a Ref No from the Membership secretary.  
We will still need to receive details as per top half of the form, as well as your signature.   We would appreciate your informing us if you do this, since we can then check our statements to ensure that the order is working.

 

BUT if you insist and prefer Cheques:

 

Should you not wish to set up a Standing Order, we will of course be happy to receive your cheque to cover your subscription.

Cheques are due for payment on presentation of the application (covering your membership to 31st August 2011.
Next subscription not due until 1st September 2011 and then annually on

1st September each year.