BRITISH VETERANS RECOGNITION CARDFAMILY APPLICATION FORM

Member’s Details

Mailing Title:

Mr o Mrs o Miss o Ms o Other

Surname:

Forenames:

Telephone:

Name:Membership No:

Postcode:

Relationship to the Member: Husband o Wife o Son o Daughter o

Personal Details

PermanentAddress:

Postcode:Email:

Date of Birth:

CurrentOccupation:Marital Status:

I certify that the information provided above is correct.

Signature:

Date:

Please Note that we require the following: o Passport Photo: I enclose a current photograph, signed on the reverse. (If submitting a digital photograph, please ! supply the image at a minimum resolution of 300 dpi) o To Corroborate my Photograph: I enclose a photocopy/scan of the whole page, including the picture, of my EU ! Driving Licence or Passport.

Application FormContinued

Payment

I wish to apply for membership as follows:! !! ! ! o 1 year! ! @ ! ! £17.50! !! ! ! o 3 years !! @ ! ! £43.75! !! ! ! o 5 years !! @ ! ! £70.00! !

If you are living overseas, please add a postage charge of £1.50 for a 1 year card, £3 for a 3 year card or £5 for a 5 year card.

Payment by Cheque

I enclose a cheque for £! ! ! ! Please make cheques payable to British Veterans

Payment by Card

Card No:! !

Name of Cardholder:! ! ! ! ! ! ! ! !

Address of Cardholder:(if different from above)

Expiry Date:Expiry Date:

Security Number:(last 3 digits on the back)

Please send your application to:! British Veterans! ! ! ! ! ! ! Holmlea! ! ! ! ! ! ! Furze Hill! ! ! ! ! ! ! Fordingbridge! ! ! ! ! ! ! Hants! ! ! ! ! ! ! SP6 2PX