The Revenue Society

Application for Membership

I hereby apply for Membership of 'The Revenue Society'

Family Name

First Names

Address

Telephone

Fax

E-mail

My revenue collecting interests are:

My name and address may*/may not* be passed to other members

with similar collecting interests.

I shall*/shall not* be likely to contribute articles to

The Revenue Journal

I learnt about The Revenue Society from:

Membership Fees

I enclose my remittance of:

UK Residents

1 year GBP Ł15

5 years GBP Ł70

Life Membership GBP Ł300

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Overseas Residents

1 year GBP Ł20

5 years GBP Ł90

Life Membership GBP Ł400

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Payment in Sterling made payable to:

'The Revenue Society'

If paying by VISA/Mastercard please add 5%.

If paying by foreign cheque please add GBP Ł8

Please print out completed form and post with payment to:

Martin Blatt

47 Lawrence Gardens

Beltringe

Herne Bay

Kent.

CVT6 6NL

* delete as necessary