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Brecknock Society and Museum Friends

Cymdeithas Brycheiniog a Chyfeillion yr Amgueddfa
Charity Registration No.518041 Rhif Cofrestru Elusennol
Membership & Contact Us
Brecknock Society and Museum Friends  
c/o Brecknock Museum
Captain’s Walk
Brecon
Powys
LD3  7DS
Wales

BRECKNOCK SOCIETY & MUSEUM FRIENDS
APPLICATION FOR MEMBERSHIP

NAME........................................................................................................
ADDRESS .................................................................................................
...................................................................................................................
.......................................................................  DATE................................
Please enclose a Cheque for £10 made out to the Brecknock Society & Museum Friends OR preferably complete the Bankers Standing Order
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BANKERS STANDING ORDER
(Block letters please)

To.......................................................................Bank Plc
Address............................................................................
........................................................................................

Please pay to National Westminster Bank Plc, Brecon
(51-81-27) for the account of the Brecknock Society & Museum Friends (02116146) the sum of £10 Now and the sum of £10 on St Davids’ Day in each year until further notice.

Please notice that this order cancels any previous order payable to the Brecknock Society &Museum Friends.

Name(s) ..............................................................................
Account No. .......................................................................
Address .............................................................................
..................................................................Post Code.........
Signature .................................................  Date..................

(Please send this Bankers Order or cheque to Membership Secretary, c/o  Brecknock Museum, Brecon, LD3 7DW, or leave forms at the Museum.

Do not send directly to your Bank.