BSMGP MEMBERSHIP RENEWAL FORM 2009
CATEGORY FELLOW ASSOCIATE/CRAFT ASSOCIATE ORDINARY member SENIOR member (70+ years) ORDINARY student member (10+ hours/week in college. Please state institution, course title, duration and tutor.) RATE UK OVERSEAS £90 £95* / £92** £79 £45 £25 £20 £84* / £81** £50* / £47** £30* / £27** £25** ............................................................ ............................................................ £20 (Please circle as appropriate) (* with posted news; ** with emailed news)

JOINT member (partner of member, only 1 copy of publications sent)

My main interest in stained glass is as a: MAKER/DESIGNER/CONSERVATOR/RESTORER PRACTISING PROFESSIONAL/AMATEUR CRAFTSMAN (please delete as appropriate)/ HISTORIAN (please state special interest)/TUTOR (please state locality or institution)/ OTHER (please specify): If not renewing online, please return this completed form with a standing order form/cheque/direct transfer notice payable to the BSMGP and an A5 (23 x 16 cm) s.a.e. to the Secretary: Chris Wyard, PO Box 15, Minehead, Somerset TA24 8ZX; email: secretary@bsmgp.org.uk (please circle / delete below as appropriate) I include a donation for the Artists' General Benevolent Fund to the sum of ............ I enclose a standing order form / cheque*** payable to the BSMGP / I have made a BACS transfer*** to the BSMGP for the amount of ............. *** If paying in non-Sterling currencies add £5 equivalent to cover bank conversion charges. Please tick: if you require a receipt [ ] if you do not wish contact details to be given out [ ] ___________________________________________________________________________________

BSMGP STANDING ORDER MANDATE
Bank name .......................................................... Sort code Bank address ................... Account name ..................................................... Account number .................... ................................................................................................. .................................................................................................................... Please pay to The British Society of Master Glass-Painters, HSBC Bank, Eastbourne branch, account no: 31040944; sort code: 40-20-06 the sum of .................................. commencing on ............ ........................................ , and thereafter on 1st January annually, until further notice, cancelling any previous Standing Order in favour of the beneficiary named above. Please quote the reference BSMGP/......................................................in any communication. Name: ................................................................................................................... Address: ................................................................................................................ ............................................................................................................................ Telephone: ........................... Fax: ............................. Email: ................................... Signature:............................................................ Date: .......................................