We wish welcome you as a Member of

THE ASHCOMBE DORKINIAN ASSOCIATION

Successor to
THE OLD DORKINIAN ASSSOCIATION

 

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 (later this year).

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 8th 2011

Spouse/guests are welcome.

 

Notes

The first part of the form below enables us to register you as a member.

 

Following your starting year Membership, we would much prefer to receive your 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 send the instruction to your bank.   We will return a copy for your retention

Please rest assured that this order will not operate until 1st December 2010.

 

If you have access to Internet banking you can, of course, set up a standing order yourself.   But you will need a Ref No. and Account 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.

 

If you insist and do not wish to set up a Standing Order but prefer Cheques:

we will of course be happy to receive your cheque to cover your subscription.

 

Subscriptions are due annually on 1st September each year.

For  non-UK residents  we are able to accept payments via Paypal.  Please contact us for more details.




THE ASHCOMBE DORKINIAN ASSOCIATION

I wish to become a member 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 Title …………                         

Your First Name … …………... …. Your  Surname      … .…………………

Your School Surname, ………….………(if now different)

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

 

Introduced by………………………………….

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

 

I wish*/do not wish* my 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)

NEWSLETTERS are normally snail mailed but are available electronically as WORD”.doc” files

I wish* / do not wish* to receive Newsletters electronically.

* Please strike out as appropriate

This section will go to your Bank

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

(Your own) Address : …………………………

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

       Post Code:        …………………

I wish to pay my 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

 

 

Lloyds Bank Sort code  30-92-70  Account    

 


First Payment  
£10.00 Ten pounds on 1st receipt of this order

Next payment   £10.00 Ten pounds on  1st December 2011

And thereafter £10.00 ANNUALLY on 1st December each year

until further notice.

 

Your Signature                                                   Date

         ADAweb 2010