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 1^st September to 31^st 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 held at The Ashcombe School in October each year followed by a Reunion Luncheon.

AGM and Reunion Lunch 2011 will be held on Saturday October 8^th

AGM and Reunion Lunch 2012 will be held on a date yet to be determined (a Saturday early in October )

Spouse/guests are welcome.

Notes

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

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 1^st 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 note first payment covers membership to 31^st August 2012

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

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.

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.

Subscription until 31^st August 2012 due now; then annually 1^st September each year.

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

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

(Your own) Address : …………………………

…………………………..

Post Code: …………………

This section will go to your Bank

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 receipt of this order

Next payment £10.00 Ten pounds on 1^st December 2012

And thereafter £10.00 ANNUALLY on 1^st December each year

until further notice.

Your Signature Date

ADA WEB Sep2011

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