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Monumental Brass Society


GIFT SUBSCRIPTION FORM





DETAILS OF PERSON GIVING GIFT

Full name (Mr/Mrs/Miss etc) 

Degrees, titles etc.

Address 

Telephone 

Email address

DETAILS OF RECIPIENT

Full name (Mr/Mrs/Miss etc) 

Degrees, titles etc.

Address 

Date of birth (if under 18 years) 

Telephone 

Email address

Additional member at above address:


Full Name (Mr/Mrs/Miss etc)


Renewal details to be sent to:

Sender/recipient (delete as appropriate)


Signature 



..............................................................


Date 

This completed form together with your subscription should be returned to:

Hon Secretary

Monumental Brass Society

C

Click here for the Bankers Order form as a web page which can be printed.

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Copyright © 2002 Monumental Brass Society (MBS)

Page last updated 08 April 2016