The T. E. Lawrence Society

MEMBERSHIP APPLICATION FORM
(For membership period see Membership Page)

Please enrol me / us* in the T. E. Lawrence Society

Name(s): Title:

Address:

Postcode: Country:

Telephone: Fax:

E-Mail:

Choose one of the options below:

Membership 1: receiving 2 printed journals and reading 4 e-newsletters (in the www.telsociety.org.uk Members area) Subscription rate £13.00 (UK) / £16.00 (Overseas)

please tick here

or

Membership 2: receiving 2 printed journals and receiving 4 printed newsletters (through the post) Subscription rate £18.00 (U.K.) / £23.00 (Overseas)

please tick here

I wish to pay £………. by cheque (U.K. Sterling) or postal order enclosed, or by Visa / MasterCard (details below). *

Visa / MasterCard* number: ……………………………………………

Expiry date:……………..

Card account address (if different from above):

Signed:………………………………………………

If you are a UK taxpayer and would like us to recover Gift Aid on all subscriptions/donations you make to the society now and in the future (until notified otherwise) please tick here

Any personal information which you have provided on this form, or which you provide to us in the future in connection with your membership, will be used by the Society only for future communications with you. This personal information is not disclosed to any third party without first receiving your permission, except as required by law. We publish the names (but not addresses) of new members in our Newsletter, which are circulated to all members. If you do not wish for your name to be published in the Newsletter pleases tick the box

please tick here

* Delete as appropriate.