MAM Payment by New Members by Bank Transfer

Form for notification of Hon. Assistant Treasurer (subscriptions) and Hon. Membership Secretary of payment

If you wish to pay your entrance fee and first subscription by bank transfer please remit your subscription to:

TSB Great Hampton Street branch

Sort code: 30-93-66

Account: 07022074

Account name: Midland Association of Mountaineers

Use a reference number (preferably the date of payment) to allow the Treasurer to identify your payment.

Complete this form to notify the Treasurer of your payment.

Your name*

Subscription type* Adult £20 + £50 = £70 Joint Adult £40 + £80 = £120 Senior (70 and over) £20 + £40 = £50 Joint Senior £40 + £60 = £100 Youth (under 23) £20 + £20 = £40 Youth (ex UBMC) £0 + £20 = £20 Junior (under 18) £10

Joint membership with (if joint subscription)

Total remitted by bank transfer £*

Your reference for the payment (use date of payment)*

Thank you for your payment

Phil Wilkinson Toby Forrester

Hon Assistant Treasurer Hon. Membership Secretary

(subscriptions)

The MAM - one of Britain's Senior Mountaineering Clubs

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MAM Payment by New Members by Bank Transfer

Form for notification of Hon. Assistant Treasurer (subscriptions) and Hon. Membership Secretary of payment