The Henry Bradshaw Society

Electronic Membership Application Form

I wish to join the Henry Bradshaw Society, commencing with the current year.

Contact details

Title (Dr/Mr/Ms &c)
Name
Postal address, line 1
Postal address, line 2
Postal address, line 3
Postal address, line 4
Postal address, line 5
Postal address, line 6
Country (if not UK)
	Please ensure that the above includes your Zip/Post Code
email address:

Payment details

In making payment, please allow for bank processing charges :

	Bank fee	GBP
Sterling cheque drawn on UK bank		20.50
Non-sterling cheque	7.00	27.50
UK bank transfer		20.50
IBAN - International Bank Transfer	1.00	21.50
Online Card payment.	1.00	21.50

The details of the Society's bank are as follows:

Bank name	Child & Co.
Address	1 Fleet Street, London EC4Y 1BD, UK
Sort code	15–80–00
Account no.	6058 2710
BIC	RBOS GB 2L
IBAN	GB33 RBOS 1580 0060 5827 10

Additional information

If you have any additional information or comments, please type them into the following box:

A Members' Book Order Form will be sent on receipt of first subscription.

Submit form

If paying by cheque, please print this form as well as hitting 'SUBMIT',
and mail the print with your cheque to the Treasurer at
The Henry Bradshaw Society,
c/o Dr M B Moreton, Waterloo House, High Street, Rolvenden, CRANBROOK, Kent TN17 4LN [UK]