Lay Members’ Day 2013 Subscriptions are payable by cheque, credit card or standing order. Cheques in pounds sterling are acceptable drawn on any UK bank. US personal cheques may be made payable in US dollars. All cheques should be made payable to ‘Society of Scribes & Illuminators’. Credit card payments should be in pounds sterling and are subject to a handling charge of 10%. Subscriptions are renewable annually. A reminder will be sent with the mailing before the renewal date. Subscription rates below are valid as of November 2010. Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Title . . . . . . . . . . . . . . . . . . . . . Forenames . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode/Zip Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Country . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Telephone No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-mail address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Occupation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special Interests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Are you a teacher of calligraphy? Yes No PLEASE TICK THE APPROPRIATE RESPONSES I would like to join as Lay Member (UK £32, EU £34, Other £36 or $US67) Yes No I claim a UK student rate of £18 Friend (UK £26, EU £28, Other £33 or $US61) (If claiming, enclose a photocopy of student card and course name) Yes No I claim a deduction of £15/ US $29 for Additional Membership as I reside at the same address as . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (not available to students) Amount of cheque in pounds sterling (drawn of any UK bank) . . . . . . . . . . . . . or US dollars . . . . . . . . . . . . . payable to ‘Society of Scribes & Illuminators’. Or if paying by credit card: Mastercard Visa Amount to be charged (in pounds sterling only. Please add handling charge of 10%) . . . . . . . . . . . . . Card No: Expiry Date. . . . . . . ./. . . . . . . . / . . . . . . . . . . . . . . . . . . . . Please send your 3-digit security code (CSC code, the last three digits on the back of the card) under separate cover. Name on card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date. . . . . . ./. . . . . . ./. . . . . . . . . . In future I would like to pay send me theme relevant information pay by by Standing Standing Order Order (UK (UKMembers Membersonly). only) Please Please send the relevant information (tick box). As a member of the SSI, your your name name will will be be kept kept on onaacomputer computerdatabase databasefor foradministrative administrativepurposes. purposes.From Fromtime timetototime timethe theSociety Society publishes a list of names numbers) of itsofmembers. You You havehave the right to request that your namename names and and addresses addresses (excluding (excludingphone telephone numbers) its members. the right to request that your is not included in such aa list. list. IfIf you you do do NOT NOT want wantyour yourname nameincluded includedplease pleasetick tickhere here Please print this form and complete it, then send it with your subscription to: SSI Membership Secretary, Nicky Tait, 19 Eleanor Crescent, London, NW7 1AH, UK email: [email protected]