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British Records Association Membership Application Form

Please print out this form and post it to:
Membership Secretary, British Records Association, c/o Finsbury Library, 245 St John Street, London, EC1V 4NB

I wish to join the British Records Association as (tick the appropriate type):

  Individual Member
  Institutional / Corporate Member
  Student / Retired / Unwaged Member
  Associate Member

Please fill in your contact detail below in BLOCK CAPITALS
Name:  
Address:  
Email:*  
*optional


I enclose a cheque /banker's order for:
and a Gift Aid Declaration.

 £







Bankers Order Form

Name of Bank:  
Address of Bank:  


Please pay to the account of the British Records Association

(Account no. 10465486) at Giro Bank Plc (Sort Code 72-00-03) on

Date:

the sum of £


Please continue to pay this amount to the same account annually on the 1st January until this order is revoked.
Previous orders in my name in favour of the Association should be cancelled.

Please enter your account details and sign below:
Account No:  
Sort Code:  



Signature: ..........................................................................     Date: ............................

Gift Aid Declaration - Please help us at no extra cost to yourself

I (full name in capitals)


of (address)

would like the British Records Association to benefit by reclaiming UK tax* on all payments I have made since 6 April 2000, and all payments I make hereafter to that body. *I understand I must pay an amount of income or capital gains tax at least equal to the tax that the British Records Association reclaims on my payment. Please note that you can cancel this declaration at any time by notifying the BRA.


Signature: ..........................................................................     Date: ............................