SAM 35

MEMBERSHIP APPLICATION FORM

Please complete the details listed below in block capitals and then send this form to:Alan Chatfield, 27 Causway Terrace, Watchet, Somerset, TA23 OHPe-mail and for Paypal payment: - secretary-sam35@tiscali.co.uk Please enclose: -1)Cheque or postal order payable to SAM 35, £21 FOR UK* or £30 FOR OVERSEASMEMBERS. Overseas members who wish for ‘Speaks’ by airmail please add: For EUcountries £4 and for USA and other countries £9.

Payment may be made by credit cardusing Paypal.com. For details of this arrangement please e-mail the membershipsecretary. There will be a small extra charge to cover Paypal commission charges. Pleasenote that new UK members need only pay £12 after 1

June.2)A stamped self-addressed envelope. 3)If renewing your Sam membership cardName______________________________________________________________________ _ Address_____________________________________________________________________ ___________________________________________________________________________ _ Post Code __________________________Telephone Number _____________________ E-mail address ____________________________________________________________ Please tick if this application is a renewal

A new membership

Sam 35 Membership number (new members leave blank)_______________________ *a) BMFA number and I undertake to keep my subscription current*b) I do not fly models at any time (magazine subscription only)*You must fill in or delete either a) or b) above.Data Protection Act. The information you provide on this form will not be disclosed topersons outside of the Society. Contact details may be passed to bona fide members shouldthey wish to contact you about Society business. If you do not wish for your details to bedisclosed to other members please tick this box.