CAMRA
Membership Application Form

To print off this form click here.

I/We wish to join The Campaign for Real Ale and agree to abide by the rules.

Please print out this form, fill in the relevant details, and send it with your remittance to:

The Campaign for Real Ale Ltd, 230 Hatfield Road, St Albans, Herts AL1 4LW


Title . . . . . . . . . . . . . . . . . . Surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Forename(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date of Birth . . . . . . . . . . . . . . . . .

(Partner) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D.O.B . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postcode . . . . . . . . . . . . . . Date . . . . . . . . . . .

Telephone No . . . . . . . . . . . . . . . . . . . . . . . Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (include STD code)

Full single membership .............................................................. £20 (non-DD £22)
Full joint membership ............................................................... £25 (non-DD £27)
Concessions & Over 60 Membership .............................................................................. £11 (non-DD £13)
Joint concessions ...................................................................... £14 (non-DD £16)
Life membership  .......................... £360
Joint Life membership  ........................ £450
   
Donations welcome .................................................................... £

Please charge my Access / MasterCard / Visa / Delta / Switch

Number . . . . . . . . . . . . . . . . . . . . . . . . . . . Name on Card . . . . . . . . . . . . . . . . . . . . . . . . .

Expiry Date . . . . . . . . . . . . . . Issue number for Switch cards . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(or phone 01727 867201 with your card details)

Direct Debit logo Instruction to your Bank or Building Society
to pay by Direct Debit

Name & full postal address of your bank or building society
To:-The Manager              
 
 
 
 

Name (s) of Account Holder (s)
 

Bank or Building Society Account Number
                                          

Branch Sort Code
                              

Reference Number
                                                                       
Originator's Identification Number
 
9  2  6  1  2  9
FOR CAMRA OFFICIAL USE ONLY
This is not part of the instruction to your Bank or Building Society


Membership Number . . . . . . . . . . . . . . . .

Name . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Please pay CAMRA Direct Debits from the account detailed on this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with CAMRA and, if so, will be passed electronically to my Bank/Building Society

Signature (s)
Date
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

The Direct Debit Guarantee
(This Guarantee should be detached and retained by the payer)

  • This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society.

  • If the amounts to be paid or the payment dates change, CAMRA will notify you 10 working days in advance of your account being debited, or as otherwise agreed.

  • If an error is made by CAMRA or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.

  • You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.
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