BIRMINGHAM & MIDLAND SOCIETY FOR GENEALOGY & HERALDRY DEED OF COVENANT (UK Tax Payers only) Membership No........................................... I (full name in capitals)........................................................................................................ of (address and post code).................................................................................................... ..............................................................................................PostCode................................ COVENANT with THE BIRMINGHAM AND MIDLAND SOCIETY FOR GENEALOGY AND HERALDRY that for the shorter of my lifetime or four years (and thereafter until I revoke the Deed in writing or resign my membership of the Society) I will pay annually to the Society such a sum as, after deduction of income tax at the basic rate for the time being in force, amounts to £......................... and ............................p (say............................ pounds and ......................... pence) or is equivalent to the annual membership subscription payable to the Society as at the date on which payment is due, whichever shall be the greater. SIGNED and DELIVERED by me this ............day of..............................19....... Signature........................................................................ in the presence of: Signature of Witness..................................................... NAME............................................................................................................................... (in BLOCK CAPITALS) Address of Witness.............................................................................................................. .............................................................................................PostCode................................. After completion please return this form to The Hon. Covenants Officer: Mr V.E. Beesley, 38 Plas Edwards, TWYWN, Gwynedd, LL36 OAS89