60 /40 CLUB ON LINE APPLICATION FORM

Phone Number:

Email address for future correspondence:

Date (in format DD.MM.YY):

 

How many numbers do you wish to purchase ? Please select.

One Two Three Four

I wish to pay my subscription by the following method (please choose).

A B

If ‘A’ Please enter date of first standing order payment

A: Payment by monthly Standing Order. I will instruct my bank to pay “The Trinity Project” £5.00 per number per month. First payment to be on the Trinity Project account by the last day of the month. AAAA BBBB To print a Standing Order form please press here  CCCC DDDD EEEE FFFF

B:
6 months subscription in advance
subscription paid by cheque

A cheque for £30.00 per number, made out to
“The Trinity Project” should be sent to:-

Rosemary Smith
60/40 club co-ordinator
12 Svenskaby
Peterborough
PE2 6Y   

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