Local Population Studies Society

Subscription form 2009 - Please complete and return to: Local Population Studies Society, Faculty of Humanities, University of Hertfordshire, College Lane, HATFIELD, Herts. AL10 9AB. UK.

Important: please tick this box if you require an invoice to be sent to you:

Annual subscription:

Your details:

Title............................... Name............................................................................

Address...............................................................................................................

.......................................................................................................................

Country................................................................................................................

Postal Code..................................E-mail address.........................................................

Telephone..............................................................................................................

My current research interests are:....................................................................................

Age group: Under 25 26-50 51 and over

Employment status: Waged Unwaged Retired

Please select one payment catagory:

Categories: Individual UK £18 / Student UK £10 / Instititional UK £30 / Individual Overseas £21 / Student Overseas £13 / Instititional Overseas £30

Select payment method:

Enclosed cheque for 2009 subscription
Invoice for payment
Standing Order - please complete the Standing Order payment slip below for 2009 subscription.

STANDING ORDER
DO NOT DETACH: PLEASE RETURN TO THE LPSS OFFICE AT THE ABOVE ADDRESS

Member's Bank......................................... Sort Code................. Account No....................

Branch Address ......................................................................................................

.........................................................................................................................

Post Code............................................................................................................

Please pay on receipt, and annually thereafter on 1 May, to: LloydsTSB, Ormskirk Branch, Sort Code 77-57-01 the sum of *£10.00/£13.00/£18.00/£21.00/£30.00 for credit to Local Population Studies Society Account No. : 18190768 quoting the name of the account holder:..................................until this order is cancelled in writing, charging such payments to my/our account numbered:.......................

Signature.................................. Date.................

* Delete as appropriate           Registered Charity No. 326626.

GIFT AID IT!
If you pay UK Income Tax, this Gift Aid declaration can significantly increase the value of your subscription to the Society without costing YOU a single penny more. As a registered Charity, the Society can claim back some of the Income Tax you have already paid. Please complete and return this form as every penny counts

GIFT AID DECLARATION
DO NOT DETACH: PLEASE RETURN TO THE LPSS OFFICE AT THE ABOVE ADDRESS

Registered Charity 326626
I (full name in capitals)...............................................................................................

of (address)...........................................................................................................

.........................................................................................................................

.........................................................................................................................

Postcode...............................................................................................................

Wish the Local Population Studies Society to treat my subscription payment and all those made after the date of the declaration as Gift Aid payments until I notify you otherwise