Surrey/SussexVTTA Subscription Form 2016

Please provide the following details. You must provide your name. If you leave a field blank, it is assumed not to have changed.

Full Name
VTTA Membership Number
Club
Home Address
Email Address
Home Telephone Number
Mobile Telephone Number

Your National Membership number is quoted on your VTTA welcome letter when you joined. If you do not know it,contact the Treasurer asking for your number (see contact details below).

Please enter a “Y” in each “paid” box below to show how you intend to pay.

Item / Item Code / Fee / Pay Online / Pay at Bank / Pay by Post
Annual Subscription - Single members / S / £12.00
Annual Subscription - Couples / C / £14.00
Annual Subscription - Life Member’s Magazine only / M / £6.00
Standards Award at All distances / AA / £10.00
Standards Award at a Specified distance / AS / £5.00
Annual Lunch (fee is per person, “n” is number of people) / Ln / £23.00
Donation to the VTTA Surrey/Sussex Group / D / N/A

Return this completed form to the Treasurer either

  • by email to , with “VTTA” in the Subject field, or
  • by post to “VTTA, c/o Jon Fairclough, Romer Cottage, Long Reach, Ockham, Surrey, GU23 6PF”

If you are using email, you may either

  • attach the completed the form and return it as a word or pdf document, or scanned image, or
  • include the required data in the text of the email message.

Use one of the following methods to make the payment of the total amount due.

  • Payonline to the Surrey/Sussex VTTA account sort code 09-01-54 and bank account number 39592283. Include the payment reference details (see below) in the online payment form.
  • Pay by cheque at a bank crediting account sort code 09-01-54 and bank account number 39592283. Make cheques payable to “VTTA Surrey/Sussex Group”.Record the payment reference details on the receipt. Send the receipt to the treasurer with this completed form.
  • Pay by cheque returned with this form to the treasurer. Make cheques payable to “VTTA Surrey/Sussex Group”. Record the payment reference details on back of the cheque.

Payment reference details:

  • Your National Membership number. If you do not know it put your first name initial and first six letters of your family name instead.
  • The item code(s) listed in the table above.Use “/” to delimit.

E.g. the member with number 0000 would reference a subscription paymentand a lunch payment for two people with “0000/S/L2”.