MEMBERSHIP SECRETARY

Judi Collis

The Bewicks

Station Road

Ten Mile Bank

Norfolk

PE38 0EY

01366 377945

MEMBERSHIP APPLICATION/UPDATE FORM

Please send to Membership Secretary

Date of Application

Full name of Crew MemberDate of Birth

(including any nick names)

Home Address

Post Code Tel NoMobile No

E mail address

Next of Kin details

(Please include full address, telephone number and email details - please ask Next of Kin to update any of the above committee members in the event of a bereavement or change of circumstances, to allow an appropriate and prompt Association response)

Dates (exact if possible) served aboard HMS Ajax:

Official No Ajax Rating

Ajax Street Name (if any) & year dedicated

Details of your naval career, to include name of ships; dates; rating; membership of other naval associations + any other information considered of interest (Continue on separate sheet as required)

Joining & annual fees are currently £12 or £18 for family

Please tick as appropriate:

 I wish to pay by annual Subscription – use the Subscribe button found on the “Joining” page of

 I wish to pay by standing order – Association account details – Account Name: HMS Ajax & River Plate Veterans Association -- Account Number: 24865868 -- Sort Code: 30-99-56 (You will need to set this up with your bank)

 I wish to pay by Bank Transfer – Association account details – Account Name: HMS Ajax & River Plate Veterans Association -- Account Number: 24865868 -- Sort Code: 30-99-56

 I wish to pay by cheque – made payable to - HMS Ajax & River Plate Veterans Association and posted to the Membership Secretary as above

Gift Aid declaration – for past, present & future donations

Name of charity: HMS AJAX & RIVER PLATE VETERANS ASSOCIATION

Please treat as Gift Aid donations all qualifying gifts of money madetoday andin the future to the HMS Ajax & River Plate Veterans Association.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities that I donate to will reclaim on my gifts for that tax year. I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

Signature(or name if completed electronically)

Please notify the Association if you:

  • Want to cancel this declaration
  • Change your name or home address
  • No longer pay sufficient tax on your income and/or capital gains.

Association Newsletters will be sent out electronically to your email address provided to save on postage costs. If you do not have an email address or would prefer to receive a hard copy please tick