Full Membership
Full Member
Life Membership
Accordia Research Institute, c/o Institute of Archaeology
31/34 Gordon Square, LONDON WCIH 0PY
£25
£250
Subscriptions
(Annual Subscriptions are due at the beginning of each calendar year)
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FAX 01784-741602
100101
Retired/Student Membership
Retired/Student
£15
Ret/Stud/Life Membership
£150
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Email accordiaa@gmailcom
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To the Manager
(please give details of Bank or Building Society)
Standing Order
Bank Sort Code
(name of bank)
Your Account Number
(address)
Your Account Name
PostCode
1*
IMMEDIATELY upon receipt of this form, please make one payment of
the sum of £
[* delete as appropriate]
(amount in words)
AND
ANNUALLY on the 5th day of January, starting . . . . . . . . . . . , and then until further notice, PLEASE PAY
2
(please insert year)
the sum of £
(amount in words)
to the credit of the Accordia Research Institute at Abbey(Santander) UK, Sort Code 09–06–66, Account no. 43380567,
IBAN GB70 ABBY 0906 6643 3805 67
BIC ABBYGB2LXXX, quoting reference “subscription”
N.B. This Order replaces any previous order made by me/us in favour of the Accordia Research Institute
Signed
Date
1
2
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Please post completed form to your Bank
Please Email us at accordiaa@gmail.com to register your SO with us
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