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(If you are renewing membership please make sure you fill in any personal details that have changed in the last year.)

The completed form should be returned together with £15 subscription to:
YAS Membership Secretary; “Ottawa”, Crescent Road, Ivybridge, Devon PL21 0BP

Alternatively, you can scan the completed form and e-mail to Jane at the.gents@ic24.net

Please make cheques payable to: Yealm Art Society, alternatively you may prefer to pay on-line by BACS. For future payments, you may wish to arrange a standing order for £15 due annually on 1st January.

Our account details are: Account No: 01293696. Sort Code: 30-96-68. Address: Lloyds TSB, PO Box 1000, BX1 1LT.

Return of this form also acts as confirmation that you have no objection to the details you have given being put onto a database for use by the Yealm Art Society Committee members.

If you have an objection, please write at the bottom of this form. Please note that the Committee will never disclose your details to third parties without your written consent.