Pay via by Standing Order or bank transfer Please complete the form below and click Submit to send your registration application to us. Alternatively download the form here to complete and email to [email protected] Title Forename Surname Profession/Type of work Address Country Postcode Tel (Home) Tel (Work) Tel (Mobile) Email Please select the membership level that applies to you: Select an optionUK Standard - £30UK Student (Under 21) - £15UK Institution - £45Overseas Standard - £35Overseas Institution - £55 Special interests in respect of glass Payment Methods Please use the dropdown menu below to select your payment method Select a payment methodStanding OrderBank transfer The Glass Society Bank Details Account name: THE GLASS SOCIETY Account type: Business Current Account number: 06070701 Sort code: 01-01-14 IBAN: GB24NWBK01011406070701 BIC: NWBKGB2L Once you have set up a standing order or completed a bank transfer, please submit this form. Our membership team will then contact you with your login details. Please insert your payment date below: Gift Aid (UK taxpayers only) I want to Gift Aid donations I make now and any donations I make in the future or have made in the past 4 years to The Glass Society. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Yes Please tick if you would like to use Gift Aid. We will then send you a Gift Aid form. If applying as a household, please enter the name of the second person you would like to nominate: Title Forename Surname If applying as an Institutional Member, please give the name of the person in your organisation you would like to nominate as the main contact. Title Forename Surname Email Special interests in respect of glass
