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Membership Application Form

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First Name

Last Name

Please note that all Friends communications are by email. You may wish to add someone else's email if this helps in communicating with you.

Name

First Name

Last Name

Address

Phone

To help us attract new members and to focus on what is important to our new members, kindly tell us in the box below:

a) How you learnt about the Friends of the University and

b) Your principal reason/s for joining the Friends:

Photographs:

Please be advised, Friends occasionally take photos for promotional material. Your application confirms you are happy to have your photograph on our website, social media, newsletters and in all other Friends promotional material. If you feel that a photograph is inappropriate, please contact fubsecr@gmail.com immediately.

Membership Rates

Individual Subscription (Senior): £15

Individual Subscription: £20

Joint Subscription (Senior): £20

Joint Subscription: £30

Lifetime Individual Subscription (Senior): £100

Lifetime Individual Subscription: £150

Lifetime Joint Subscription (Senior): £200

Lifetime Joint Subscription: £300

Seniors - Persons of pension age and above

Membership runs from 1st April. There are no concessions for joining part way through the year except for those joining after 1st January when their renewal date is deferred until 1st April of the following year.

Select your preferred way to pay from the drop-down menu below.

Payments:

Please make your on-line payment to the following: Account name: Friends of the University of Buckingham Account no. 80900087 Sort code 20-57-40 Reference: Membership Cheque payments - If paying by cheque please submit this completed form on-line, no print option is available. Make cheques payable to: Friends of the University of Buckingham Please post your cheque for £ , with a short covering note to: Friends Membership Secretary, Fernleigh, 22 Moreton Road, Buckingham, MK18 1LA Having problems, any questions? Contact Steve Heywood steve@steveheywood.co.uk

Gift Voucher given by (if applicable) :

Date
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Thank you!

If clicking on the 'Join Us' button does not open the application form, please inform the Friends via an email to fubsecr@gmail.com

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