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Macclesfield Canal Society - Joining Form

Please find below/attached a pdf version of the joining form , please download this and e mail it to the

Membership Secretary at: membership@macclesfieldcanal.org.uk

 

The Macclesfield Canal Society

Membership application - please print and send by snail mail

Surname ..................................................................
First Name ...............................................................
Name of spouse /partner ........................................
No of children (under 18) ........................................
Address ................................................................... ..................................................................................
Post Code ............................................. Telephone ....................................................... Email address .................................................................................................................

PRIMARY CANAL ACTIVITY

Please enter a number (1-5) in any or all of the boxes right to indicate the priorities of your canal activities.

FOR SOCIETY USE ONLY Internet Form

Boating

Fishing

Walking

History

Other

Introduced by:

Date

STANDING ORDER MANDATE

Name of Bank ............................................................................ Branch address ............................................................................. .............................................................................. ............................................................................ Post Code .....................................................

Please pay :NATWEST BANK, CONGLETON BRANCH, sort code 60-06-10 for the credit of MACCLESFIELD CANAL SOCIETY
Account No. 72598220

the sum of £10.00 (sum in words Ten Pounds only) immediately and thereafter ANNUALLY each 1st November, until you receive further notice from me/us in writing

Please quote reference number ............. and debit my/our account accordingly. Name of account to be debited:

............................................................... Sort Code ........... .............. .............. Account Number .................................. Signature(s) ......................................... Date ............................................

Please send this Standing Order Mandate to The Macclesfield Canal Society, who will forward it to your Bank. Send it to:

Mrs Kate Bonson
MCS Membership Secretary 14 Falmouth Road CONGLETON
CW12 3BH