Application Form

Application Form

Postby dannmayo » Thu Aug 04, 2016 7:41 pm

CIVIL CENSORSHIP STUDY GROUP 2023-24 MEMBERSHIP APPLICATION FORMS

WE HAVE TWO FORMS, ONE FOR USE BY PEOPLE IN THE AMERICAS, THE OTHER FOR THE REST OF THE WORLD


For addresses in North, Central and South America

Please complete in CAPITAL LETTERS so mistakes can be avoided.

Member’s name ............................................................................

Address ............................................................................
(including
postcode) ............................................................................

............................................................................

e-mail address ........................................................

Telephone (optional) .....................................................

COLLECTING INTERESTS_______________________________________________________________

(period/area/countries) _______________________________________________________________

PAYMENT INSTRUCTIONS
Dues Payable by Check or PayPal
By US$ check
Payable to Robert Gray (Memo on check as CCSG Dues)
To Addresses in      Format:  Paper     Electronic
US                             $25         $6      
Other Americas             $31         $6
Checks should be sent to:
Robert Gray
CCSG Americas Secretary
PO Box 272
Livingston, NJ 07039
USA
PayPal payments can be made to CCSGNASEC@icloud.com
Please add 5% (min. $.50) to cover PayPal fee and specify "CCSG Dues" in the note section.

____________________________________________________________________________
____________________________________________________________________________

CIVIL CENSORSHIP STUDY GROUP APPLICATION FOR MEMBERSHIP
NOT for use in the Americas

(Please print using capital lettering for clarity so we do not make any transcription mistakes.)

NAME..........................................................................................................................

ADDRESS.....................................................................................................................
(including postcode)
....................................................................................................................................

Telephone (optional) ..........................................................

email...........................................................................................................................

Members’ addresses (postal and e-mail) are stored on computer databases and are only used by the Study Group officers for the purposes of the Study Group. Addresses are never given to any other society or organization without member permission. Letters addressed care of the Secretary or Editor will be forwarded, but please enclose postage sufficient to cover the cost of forwarding.

COLLECTING INTEREST (period/area/countries).............................................................................................

...................................................................................................................................

Subscriptions (per calendar year in British pounds):
Sent to/ Format: Paper by post             Electronic (.pdf files attached to e-mail)
UK                                             £15                                   £5
Rest of Europe                          £20                                    £5
Africa/Asia/Australasia               £25                                    £5

Subscriptions received mid-year will receive all Bulletins for that year. Cheque should be drawn on a UK Bank in sterling to avoid bank charges. Payment in cash is acceptable, but at the remitter’s risk. If you prefer, payments can be made via PayPal to: gmarkb34@btinternet.com in which case please add UK£1 for postal Bulletins, or 50p for email Bulletins, to cover the PayPal fees.

I enclose .....…/have sent by PayPal ....…. payment in the amount of

GB£ ............ in respect of subscription for the year(s) 20 ........



Signature ..................................................

This form can be scanned (.jpg or pdf) and sent as an email attachment, or sent by post to:
Graham Mark, Oast House West, Hauling Way, Wiveliscombe, Somerset, TA4 2PP, UK
or by email to: gmarkb34@btinternet.com
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dannmayo
 
Posts: 143
Joined: Thu Nov 28, 2013 9:29 am

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