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ARE YOU A MEMBER ? |
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Join now by
filling in and returning the details below |
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Next Meeting |
Monday14th May 2007 |
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Venue |
Imperial Hotel |
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Russell Square, London |
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Time |
6.00 pm for 6.30 pm |
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Cost (Buffet & Luncheon) |
Members
£19 |
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Non Members
£22 |
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I
wish to apply for membership of the Provincial Grand Officers' Mess,
and attach my cheque for the joining fee of £10.00. |
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I
agree to pay the annual subscription of £5.00 for the next and
subsequent years by Bankers Order, and have therefore completed the
form here supplied for the payment on 10th January each year. |
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Name |
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Mark Rank |
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Address |
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Telephone : Home No. |
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Telephone : Work No. |
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E-Mail Address |
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Lodge Name & Number |
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return the completed form with your cheque for £10.00 to:-
Mark Province of
London, Provincial Grand Officers' Mess, Box No: 10, 86, St. James
Street, St. James's, London SW1A 1PL |
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BANKERS ORDER |
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Please Pay: Royal Bank of
Scotland, London Holborn Branch |
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Sort Code: 16-00-53 |
Account Number : 10054323 |
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For Credit of : Provincial Grand
Lodge of M.M.M. of London |
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First payment of £5.00 (Five Pounds only)
to be made on 10th January 2005. Followed by
payments of £5.00 (Five Pounds only) to be made on the 10th January of
each year until further notice. |
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PLEASE PRINT |
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The Manager |
Bank
PLC |
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Address: |
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Name of Account: |
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Bank Sort Code: |
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Account Number |
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Signature |
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Date |
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