AVON LOCAL HISTORY & ARCHAEOLOGY Registered Charity Number 270930

AVON LOCAL HISTORY & ARCHAEOLOGY Registered charity number 270930

Please enrol me as an individual member of Avon Local History and Archaeology for the year starting 1 April 2017. I agree that my name and address will be held on computer, and may be used to enable ALHA and others to communicate with me on local history and archaeology matters.

Name:

Address for correspondence:

Post code: Telephone: E-mail:

By ticking here___, I ask that Newsletters be sent to me by e-mail; and I enclose £3 for 1 year’s membership ___, or I have paid it direct into ALHA’s bank account___. ALHA’s bank details are: Lloyds Fishponds, sort code 30 98 06, a/c no. 01862879, a/c name ALHA.

By ticking here___, I ask that Newsletters be sent to me by post; and I enclose £5 for 1 year’s membership ___, or I have paid it direct into ALHA’s bank account ___.

By ticking here, I ask you to send me a bank standing order form to pay my subscription: __ .

By ticking here, I declare that I wish my payment to be way of Gift Aid: __ I understand the conditions, in particular that I must pay at least as much UK Income Tax (in the year in which I donate) as the amount of tax that will be reclaimed by ALHA.

I am interested in:

I would like information or help about:

I offer help to ALHA or member groups and societies with:

I would like ALHA to offer the following further services or activities:

I suggest ALHA could improve existing services by:

I would like ALHA to operate a facebook page: Yes/No

I would be interested in joining ALHA’s executive committee: Yes/No

I would be interested in helping ALHA with: Newsletter/organising summer walks/planning the local history day/planning the Joe Bettey lecture/keeping membership lists/other (please say what)

To Hon treasurer and membership secretary, William Evans, 5 Parrys Grove, Bristol BS9 1TT

Telephone, answering and fax 0117 968 4979; e-mail: