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ANGLO-OMANI SOCIETY

MEMBERSHIP APPLICATION FORM

I would like to apply for membership of the Anglo-Omani Society as an Ordinary/Associate/Student/Corporate member (delete as applicable).

Name in full* (BLOCK letters):....................................................................................... Address:......................................................................................................................... ....................................................................................................................................... .......................................................................................................................................

Nationality.......................................Occupation/Interest in Oman:........................................................................... ..............................................................................................................................................................................

Date:.............................................. Signature:.........................................................................................

Proposed by (BLOCK letters):............................................................Date:.............................................. Signature:........................................................................................

* Name of Company if applying for Corporate Membership.

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BANKER'S ORDER FORM

Please complete in block letters and forward with membership application form above.

To:..............................................Bank Date:.................................... Address................................................ ......................................................................................................... .........................................................................................................

Please pay now the sum of £...........to Barclays Bank plc, 155 Bishopsgate, London EC2M 3XA, sort code 20-77-67, account number 10411175, for the account of the Anglo-Omani Society, and annually thereafter on 1 April until cancelled by me.

This cancels any standing order previously made by me for the benefit of the Anglo-Omani Society

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

Name:........................................................ Bank account No......................................... Address......................................................Bank Sort Code:.......................................... ................................................................................................... ................................................................................................... Please return this completed form to:

 

The Anglo-Omani Society c/o Mr. Richard Owens OBE,  September Cottage, 29 Chipperfield Road, Bovingdon, Herts HP3 0JN