Southwold Art Circle

Membership Renewal Form

The subscription is £12.00 per year and is due by 31st January each year.

Your Details

Title (e.g., Mr, Ms, Dr)

First Name

Surname

Membership Number (contact membership secretary if you cannot find yours)

Contact details

House Number/Name

Street

Town/village

County

Post Code

Phone Number

Email Address

Confirm Email Address

Name Used on Payment (If Not Your Own)

Payment Method

Please indicate how you are paying:

Standing Order

Bank Transfer (Please set your membership number as the reference)

Cheque (You will need to post this to the address below. Please include your membership number on the back)

Date Payment Was Made

Communication Preferences

Please indicate how we may keep you informed:

Communicating with me by email and/or postal mail

Communicating with me by postal mail ONLY

By submitting this form you consent to Southwold Art Circle holding and processing your personal data to keep you informed about news, events and activities of Southwold Art Circle.

Change your mind by emailing the membership.sec@southwoldartcircle.co.uk or clicking unsubscribe at the bottom of our emails (ceases emails only). We will never sell or pass any information to anyone else.

You can also complete the membership renewal form on paper and return it to:

SAC Membership Secretary
C/o 17 Mill Lane
Wrentham
Suffolk
NR34 7JQ

Contact the membership secretary on 01502 446135.

If you are looking to make a payment by standing order or bank transfer, payment details are:

Account name: Southwold Art Circle
Sort Code: 30-13-64
Account number: 00451693
Annual cost: £12