Roman Finds Group

Angela Wardle. RFG, 1 Stebbing Farm, Fishers Green, Stevenage, Herts, SG1 2JB.

A copy of the form below is available as an RTF file more suitable to word processors here.

Data Protection Act
The membership list is held electronically. It is never sold and is only made available to similar special interest groups so that they can send RFG members information that is likely to be of interest to them. In order to comply with the Data Protection Act, please state below if you have objections to your name and address being held electronically.
I object to my name being held electronically:____________________

Title: Mr, Ms, Miss, Mrs, Dr (please delete as appropriate) Other:______

Name:___________________________________________________

Address:_________________________________________________

________________________________________________________

________________________________________________________

Address for correspondence if different from above:_________________

________________________________________________________

________________________________________________________


Roman Finds Group - Banker's Order

To (name of bank):__________________________________________

Address of Bank:___________________________________________

________________________________________________________

Please pay to the Roman Finds Group:

Account No. 1006637 Sort code: 30-94-31 Lloyds TSB plc, Thavies Inn House, 6 Holborn Circus, London. EC1N 2HP

the sum of £__________ immediately and on the first day of October every year, until further notice debiting my/our account with this amount.

Name of account:_________________ Account No.:_______________

Signature(s):___________________________ Date:_______________