AHSS Standing Order Form

To: The Manager,
      Name of Bank:		  
Branch Address:

 


 
Postcode:

  


Please pay the sum of £__________ on the 1st day of ____________________ or as soon as possible thereafter, and annually on each recurring date thereafter until further notice to:

Clydesdale Bank, St. Vincent Street Branch, 14 Bothwell Street, Glasgow G2 6QY
Sort Code: 82-50-00
Account No: 20341251

being my subscription to The Architectural Heritage Society of Scotland.
Name:

  
Signature:

  
Bank Account No:

  
Sort Code:

  
Address:

  


 
Postcode:

  
Date:

  

This cancels any previous Standing Order to The Architectural Heritage Society of Scotland.

Note: When our records have been updated, this form will be forwarded to your bank.

Current subscription rates (from January 2005):
Ordinary: £25           Family: £35           Life: £500           Life (65+): £250           Private Benefactor: £75
Corporate: £100           Student/Unemployed: £12

RETURN TO:
The Membership Secretary
The Architectural Heritage Society of Scotland
The Glasite Meeting House
33 Barony Street
Edinburgh EH3 6NX

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