Bromley Borough Local History Society

Application Form

Please print the form below (set to Portrait layout), complete (*optional but helpful) and bring to the next meeting or send, with your cheque, to:

  Dr. A. J. Allnutt,
  BBLHS Hon. Membership Secretary,
  ‘Woodside’,
  Old Perry Street,
  Chislehurst,   BR7 6PP

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INFORMATION FOR THE SOCIETY RECORDS, PLEASE WRITE CLEARLY.

Mr/Mrs/Miss/Ms. ............................
First Name(s)……………......…………………………............................................................……..……..
Surname …………………….…………………………………………………..........................…………..
Address …………………………………………………………….…………............………...............…..
…………………………………………………………..............…………………………..............………..
Postcode ………………..............…. *Telephone..................................................................
*Email ………………………….......................…@……………........…………………............………...…
Tick the box if you would like to receive meeting reminders, last
minute updates and occasional information circulars by email

Please make your cheque payable to "Bromley Borough Local History Society".
(if you do not use cheques please advise and we will agree alternative arrangements)

Amount enclosed £ ……………...........…
Please note that our membership records are kept on computer for administration purposes only.

I/We apply to join the Bromley Borough Local History Society and enclose my/our subscription for the year ending 31st December 20___.

Signed ……………………………………… Date …..…/…....…/…….....

GIFT AID DECLARATION
(Optional, but if you are a tax payer it means the Society can reclaim the equivalent tax paid at no cost to yourself.)

I am a UK taxpayer and would like Bromley Borough Local History Society to reclaim tax on this subscription and any further payment to the Society. I pay an equivalent amount of income tax or capital gains tax at least equal to the amount the Society will reclaim. I will advise you of any change of address or if I cease to qualify for Gift Aid.

Signed ……………………………………… Date …...…/…...…/…….....

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