for the credit of BEDFORDSHIRE GARDENS TRUST - ACCOUNT No.45020272

the sum of * £ (In words pounds)
(See Membership Fee List)

immediately and annually thereafter until you receive notice in writing from me/us and debit my/our account accordingly.

Signed: .........................................................................

Dated: ...........................................

Title of account to be debited:

Account No:

* Please enter amount of subscription

and send off with your application form to the Treasurer:
Chris Lewis, 5 Storey Close, Milton Ernest, Bedfordshire, MK44 1RX

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