Are you an Old Aytonian? Would you like to join the Old Scholars' Association?
PLEASE PRINT THIS PAGE

YOUR NAME AND ADDRESS

First name(s)  
Family Name  
Maiden Name  
Address - line 1  
Address - line 2  
Town / City

 

County / State   Post / Zip Code  
Country  
Telephone Number   E-mail address  
At Ayton - from/to 19....... to 19.......
I /  We  (please delete as applicable) wish to become an annual Member(s)
of Ayton Old Scholars' Association (The annual subscription is £5 per annum - £2.00 extra per annum for partners)
UK£_______
I / We wish to pay our annual subscription by cheque - or - I / We wish to pay our annual subscription by Bankers Order (please delete as applicable)  UK£_______
Bankers Order: To the Manager................................................... Bank Ltd
Bank Address:
Please pay to HSBC Bank, Middlesbrough (40-33-01) for the credit of Ayton Old Scholars Association, Account No. 50116351 the sum of £...................................
(words.............................................................) on 1st April 20..... and annually on the same day until this order is revoked by me, debiting my / our Account No.......................................
Signed:
I /  We (delete as applicable) wish to become Life Member(s) of Ayton Old Scholars' Association (Life membership is £100.00 and £80.00 for partners)
I / We are over 50 years. (£50.00 for those joining at age 50 or over and £40.00 for partners, also aged over 50)
UK£________

Please post this form with your cheque - if applicable -  to:

AOSA Hon. Treasurer,
GEOFFREY MILLER,
60, Elmway,
Hilda Park,
Chester le Street,
Co. Durham DH2 2LX