OLD HARVEIANS’ ASSOCIATION

(The Old Boys’ Association of The Harvey Grammar School, Folkestone)

Please complete all the boxes and return the whole form

(including the Standing Order Mandate) to:

 P J Harding

Secretary, The Old Harveians’ Association

The Harvey Grammar School, Cheriton Road, Folkestone, CT19 5JY

Overseas members who do not have a UK bank account should contact the Secretary

(e-mail: philksfa@gmail,com) to discuss alternative means of payment

MEMBERSHIP FORM

Name:
Address (including postcode):
Phone: (           )	E-mail:
Years at HGS:      From:	To:
Occupation:
I would prefer to receive communications:	By Post                  By e-mail                Both (please delete as applicable)

STANDING ORDER MANDATE

(Please return this to the Association via the School, not to your bank)

To:      The Manager

            _______________________________________________ Bank Plc (name of your bank)

            ____________________________________ (address of your bank, including postcode)

Account to be credited:                   Old Harveians’ Association

Account Number:                             08620075

Bank Address:                                  Nat West Bank, Sandgate Road, Folkestone

Bank Sort Code:                               52-41-42

Amount Payable:                              £10.00 (ten pounds only)  

Payment Frequency:                        Annually on 1^st January

First Payment:                                   1^st January 2021

Last Payment:                                   until further notice

Account Number:	Name of Account:
Signature:	Date: