THE BIRMINGHAM & MIDLAND SOCIETY FOR GENEALOGY & HERALDRY.

(registered Charity No. 505916-R)

MEMBERSHIP RENEWAL FORM 2008

Your membership subscription is due on 1 January 2008   Please pay promptly. 

Payment after 31 January is likely to delay the despatch of your March Journal.

If you do not wish to renew your membership, we should be grateful if you would tell us.

(PLEASE USE BLOCK CAPITALS)

MEMBERSHIP NO…………….…….NAME…………………………………………………..

ADDRESS………………………………………………………………………………………..

………………………………..……………………………………………………………………

……………………………………………………..Post/Zip Code ….…………………………

Tel/Fax No. …………………………………….…Email ………………………………………

SUBSCRIPTIONS

BASIC		ADDITIONS
Full Membership	£14.50 or	(if required)
Joint Membership	£20.00 or	Air Mail (not Europe)   £4.00
Associate Membership (under 21)	£7.00
	Cheque for £ ………………. enclosed

Sterling cheques payable to ‘BMSGH' should be sent, with this form to:

Mrs. O. Haddleton, 158 Tideswell Road, Great Barr, Birmingham, B42 2DS

Please mark envelopes B.M.S.G.H.

CREDIT CARD PAYMENTS 

Mastercard

Visa

Delta

Electron

Solo

JCB

Switch

  (We cannot accept American Express at the moment)  

Card number:……………………………………… Expiry Date …………………………….. 

Issue No. (Switch)………………………….. (solo) …………………………...……………… 

Security Code (last 3 figures on back of card) .......................................... 

Name on Card…………………………………………………. ……………………………….. 

Signature…………………………………………………………………………………………. 

The Society is registered under the Data Protection Act and information regarding your membership will be stored on computer. 

Individuals may have access to their own information stored on application to the Secretary (subject to a fee) 

Rev 01/2007