membership and affiliation form
DESCRIPTION
Leaflet used by individuals, trade unions and campaigning organisations to join/affiliate to the Marx Memorial Library & Workers' School. Join online at http://marx-memorial-library.org.uk/TRANSCRIPT
Membership & Affiliation Form Sign up as an individual member or affiliate your local, regional or national trade union, campaigning, political and progressive organisation to receive: • Access to our extensive archives and collections • Regular updates and newsletters about forthcoming events • Access to our lending library • Discounted rates for venue and room hire • Guided tours of Marx House • Participate in our lectures, seminars and education
programmes
Join/Affiliate online at www.marx-memorial-library.org.uk
Marx Memorial Library & Workers’ School
Marx Memorial Library & Workers’ School Membership & Affiliation Form
FILL IN USING BLOCK CAPITALS IN BLUE/BLACK INK
SURNAME
FIRST NAME(S) MR/MRS/MS/DR/PROF
ORGANIZATION NAME (IF AFFILIATION)
POSTAL ADDRESS
TOWN/CITY POSTCODE
LANDLINE MOBILE
DATE OF BIRTH MALE/FEMALE/TRANSGENDER
ANNUAL MEMBERSHIP RATE: r £20 INDIVIDUAL r £10 CONCESSIONS r £25 OVERSEAS
ANNUAL AFFILIATION RATE: r £50 BRANCH/LOCAL ORGANISATION r £250 REGIONAL ORGANISATION r £500 NATIONAL ORGANISATION
STANDING ORDER MANDATE
My Bank........................................................................
My Bank’s Postal Address..........................................
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Please pay by banker’s standing order, cancelling any previous instructions to the payee: Pay to: Co-operative Bank; Sort Code: 089033 Account Number: 5042539200 Account name: Marx Memorial Library & Workers’ School Amount (words): Amount (figures): Date of first Payment: Frequency: Annual/Monthly
I also would like to donate £................ Make cheques/PO payable to Marx Memorial Library & Worker’s School
r I am a UK taxpayer and would like this and any future donations to be treated as Gift Aid donations. I understand I must have paid an amount of income and/or capital gains tax equal to the tax reclaim on my donation in the relevant tax year.
Account Holder(s)........................................................
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Sort Code oooooo
Account No oooooooo Signature(s)...................................................................
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Name (Block Caps).......................................................
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Date ...............................................................................