THE RECOGNISED ASSOCIATION REPRESENTING THE INTERESTS OF BARBICAN RESIDENTS


2013 MEMBERSHIP FORM


Barbican Address Mailing Address


Member type:


Leaseholder / Corporation Tenant / Sub-tenant


(please delete as appropriate) Names


1 2 3 4


Telephone Nos E Mail


Fax


Membership fee £7 if paying by cheque OR £5 if paying by STANDING ORDER: For addresses outside the Barbican add £3 for UK, £6 for Europe, £9 for rest of world to cover postage.


Membership cards: Membership cards are printed in batches either monthly or bi-monthly depending on the print run required


We would prefer you to pay by standing order. It saves our volunteers much time. Please complete the attached form. Alternatively send a cheque payable to ʻBarbican Associationʼ with your address on the back. Please return this form to


Roger Howorth, Assistant Membership Secretary, 63 Thomas More House, Barbican, London, EC2Y 8BT. E mail: roger@rogerh.com


The Barbican Association keeps a database of the names, addresses, telephone numbers and e mail addresses of Association Members. Information from the database is used by our General Council and Affiliated House Groups for maintaining and increasing membership, distributing our publications, managing and reporting on our finances and accounts, and carrying out other objects of the Association. We also disclose information about our membership to the Corporation of London (including the Barbican Estate Office) in order to maintain their recognition of the Association. By becoming a member of the Association, you consent to the use of your information for these purposes.


STANDING ORDER To


Bank


Alliance & Leicester Commercial For the credit of:


Benificiaryʼs Name Barbican Association


Commencing Date of first payment


Amount of first payment if different


£ Date of last payment Until further notice in writing or Name of account to be debited


and debit my/our account annually Sort Code


Account Number This replaces my/our previous standing order for the transfer of Name(s)


BLOCK CAPITALS PLEASE Address


£ Signature Signature Postcode Date Amount in figures Amount in words £ Due date and frequency 1 January annually


Account Number * 97028605


Bank Branch


Branch Title


Branch Address


Sorting Code Number 72-00-05


Quoting Reference


to the same account (cross out if not applicable)


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