8/3/2019 Sam Application

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Note: Please do not use staplesSAM 35

MEMBERSHIP APPLICATION FORMPlease 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.uPlease 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 EU

countries 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 membership

secretary. There will be a small extra charge to cover PayPal commission charges. Please

note that new UK members need only pay 12 after 1 June.st2) A stamped self-addressed envelope.3) If renewing your Sam membership card

Name______________________________________________________________________ _

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 cur

*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 should

they wish to contact you about Society business. If you do not wish for your details to be

disclosed to other members please tick this box.