Please print out the form below, fill it in and return to:

Mr M Dyer ACA MAAT

Reeves & Neylan

37 St. Margarets St, Canterbury, Kent CT1 2TU

Membership for Sandwich & District Chamber of Commerce

I wish to apply for Membership of the above Chamber and if elected, I undertake to pay a minimum annual subscription of £35.

Name: …………..……………………………………......................

Address: ………………………………………………....................

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

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

email:-………………………………...................................

Telephone number: ………………………………………………...

Business or profession: ………………………………………………..

Signed: …………………………………………. Dated: ……………………..

Please complete the bankers order shown below and return to the above Secretary.

To: …………………………………… Bank Plc Dated: .…………………….

Branch: …………………………………… Sort Code:…………………….

On receipt of this order, please pay HSBC at Sandwich (40-40-34) for the credit of
Sandwich & District Chamber of Commerce (A/c No 81383345) in the sum of £35 and to continue to pay that amount on 1 January each year until further orders in writing from me/us (or either or us in the case of a joint account) and debit my/our account with you from time to time with such payments.

Signature: ….…………………………………………….

Name: ………………………………………………..

Account: ……………………………………………….