The Exakta Circle

Application for Membership or Renewal of Membership
1 April 2008 to 31 March 2009

A facility to pay through PayPal will be found on the Subscriptions Page
Otherwise, please download and print this form
and send it with your remittance to the Secretary:

Chris A. Fransella, ARPS, 32 Belfield Road, Paignton,
Devon TQ3 3UZ (tel. 01803 666743)

If you cannot send a sterling cheque or postal order, or sterling notes, and you do not wish to use PayPal, please discuss the problem with the Secretary

Please type or write in BLOCK CAPITALS. Put a cross X in the left-hand column of the first table against any information you do not want to be circulated with the Membership List.

Surname		Forename
	Address
	Post/Zip code	Style (Mr, Mrs, etc)
	Telephone	Membership No (if renewing)
	Mobile	Date
	e-mail
	(For all applications) Please tick the box on the left if you would like to use only the Website facility for reading and contributing to booklets, and not receive booklets by post
(For first applications only) Please indicate how you heard about the Exakta Circle

Amount and method of payment (please tick to the left of one of each)

Amount: Please indicate whether you wish to receive Exakta Times with or without a four-page colour insert. The text is the same in both versions, but the subscription is increased as shown below to cover the additional costs of printing in colour
	UK £23 with colour printing in ET	Overseas £25 with colour printing in ET
	UK £18 without colour printing in ET	Overseas £20 without colour printing in ET
Method: We regret that we cannot accept credit or debit cards, Eurocheques or overseas postal orders
	Cash
	Sterling cheque or British postal order (payable to Exakta Circle)

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This page Issue No 9, last updated 16 Feb 08

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