To join the Knightsbridge Association please print this form and mail as indicated below.

MEMBERSHIP APPLICATION FORM

NAME	_________________________		HOME TEL	_________________________
ADDRESS	________________________	__________	_________	_________________________
WORK TEL	_________________________		FAX	_________________________
EMAIL	_________________________
PLEASE CIRCLE AS APPROPRIATE
_10 Individual member	_15 Family or household	_40 Corporate member	_100 Life member (individual)	_150 Life members (couple)

Please send this form with a cheque or the standing order below to:
The Hon Treasurer, The Knightsbridge Association, 6 Montpelier Street, London SW7 1EZ

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STANDING ORDER

TO:

___________________________

BANK

ADDRESS

___________________________
___________________________
___________________________

SORT CODE

-

-

CUSTOMER ACCOUNT NUMBER

___________________________

PLEASE PAY _______ ON THE FIRST DAY OF _______________ THIS AND EVERY OTHER YEAR UNTIL FURTHER NOTICE TO:

The National Westminster Bank plc (Sort Code 60-04-04)

FOR THE CREDIT OF:

The Knightsbridge Association (Account No 24 08 82 77)

CUSTOMER'S SIGNATURE:

___________________________

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