MEMBERSHIP APPLICATION for the FINE PRESS BOOK ASSOCIATION
(For applicants outside the US and Canada; To join as a North American member, click here.)

A discounted membership rate is offered to full-time students. If you are taking up this offer please e-mail an image of your student identification card to UK Secretary or post a photocopy to the UK Secretary at Cliff Edge, Beer Hill, Seaton EX12 2QD, UK.

This is a renewal.

Name

Address1

Address2

Address3

Email, only for communications with the FPBA

Website, if you'd like a link to it on the FPBA site

Membership type, location, and currency (please select one; price is for one year including two issues of Parenthesis):

Payment options (please select one):

Standing order (ideal): please print out the whole web page including mandate form at bottom, fill out mandate form, sign it, and post it to the FPBA secretary:
UK Secretary at Cliff Edge, Beer Hill, Seaton EX12 2QD, UK.
Sterling cheque: please print out this page (to this point; no need to fill out the standing order form below) and send it with cheque payable to 'The Fine Press Book Association' to the FPBA secretary:
UK Secretary at Cliff Edge, Beer Hill, Seaton EX12 2QD, UK.
Invoice (institutions only)

Otherwise,

Subsequent membership queries, address changes, etc. should be addressed to UK Secretary at Cliff Edge, Beer Hill, Seaton EX12 2QD, UK.K

Standing Order Mandate (please complete in block capitals)

Please return the whole web page form completed, signed, and dated to us so that we can note your mandate in our records before forwarding it to your bank.

To (name of your bank): .............................................................................................................................................

Address (of your bank): .............................................................................................................................................

........................................................................................................................................................................................

......................................................................................................... Postcode ............................................................

Please make the payments detailed below and debit my/our account.

Name of account to be debited: ...............................................................................................................................

Bank sort code:............................................................................................................................................................

Account number:..........................................................................................................................................................

Reference to be quoted (your postcode please): FPBA .....................................................................................

Name of payee: THE FINE PRESS BOOK ASSOCIATION
Address: Cliff Edge, Beer Hill, Seaton EX12 2QD, UK.
Bank and branch at which payment is to be made:
Santander, Customer Service Centre, Bootle, Merseyside, L30 4GB
Bank sort code: 09-01-53
Payee’s account number: 16783285
BIC: ABBYGB2LXXX
IBAN: GB17ABBY09015316783285

Amount in words: ....................................................................................................................................................

Date of first payment: date of receipt of this mandate
Date of subsequent annual payments: 1 June

Special instructions (if any): .................................................................................................................................

.....................................................................................................................................................................................

.....................................................................................................................................................................................

......................................................................................................................................................................................

Payments are to continue until you receive further notice in writing. This instruction cancels any previous order in favour of the payee named above.

SIGNED ................................................................................................... DATE .....................................................