Application Form

M500 Society Membership Application Form

 Please

1. Complete this form typing Yes against the type of membership you want
2. Follow the payment instructions below this form
3. Email the form to membership@m500.org.uk

Title
Forename
Surname
Address 1
Address 2
Address 3
Postcode
Telephone number
Email address
OU Identifier
Membership with electronic Magazine £16
Membership with electronic and printed Magazine UK £26
Membership with electronic and printed magazine ROI and Continental Europe £32
Membership with electronic and printed magazine to other destinations	If you want this please enquire about cost to membership@m500.org.uk
Date paid
Payment Reference in the form AnnnnnnnBloggsJ

Payment Instructions

Either

Pay by BACS to the M500 Society

HSBC, Rochester, Kent, UK
Sort code: 40-39-02
Account number: 31088920

Payment reference should be in the form of your OU identifier and name. i.e.  AnnnnnnnBloggsJ  

AND   Email this completed form to

membership@m500.org.uk

Or

Pay in a cheque made out to the M500 Society at you bank and either email this form to membership@m500.org.uk or print out and post this form to

Mrs Dorothy Leddy, M500 Society, 2 Station Hill, Hampstead Norreys, Thatcham, Berkshire, RG18 0RS

The M500 Society is subject to the provisions of the of GDPR(2018). Details of our data protection policy may be found on our website at www.m500.org.uk