Please send payments to: OSME, c/o The Lodge, SANDY, Bedfordshire, SG19 2DL
                                                                                                  e-mail: membership@osme.org

                                                                     UK Membership Form/Renewal Form

      Subscriptions are due on 1st January but you can join at any time in the year and any issues of Sandgrouse already
      published will be sent to you. Please print out this form and return it with your payment by mail.

      1. Select subscription category (please tick):

       . . . . . . . . New membership        OR        . . . . . . . . Renewal

      2. Select membership category required:

       . . . . . . . . £20 Individual membership

       . . . . . . . . £25 Family membership

       . . . . . . . . £40 Supporting membership (for yourself and an in-country national)

       . . . . . . . . £40 Institution/Library subscription

       3. Name and address for Sandgrouse mailing:

       Name   ______________________________________________________________________________________

       Address   ____________________________________________________________________________________

       ____________________________________________________________________________________________

       _______________________________________________________     Postcode    _________________________

       Email address    ___________________________________ (for administration only)

 
       4. Payment - please select and complete 4a or 4b:

                4a  . . . . . .  I enclose a Cheque (made payable to OSME) for     £ ___________

                4b  . . . . . .  I would rather pay by debit/credit card the amount of      £ ___________

                      VISA _______     MASTERCARD _______ (tick as appropriate). No other cards accepted

                Card number    _________/_________/________/________           Expiry date    ________/________

                Name as on card    __________________________________      * Security No   __________________
                                                                                                        * the three digit number above signature on back of card

                Signature  ____________________________________________     Date  _______________________

       OSME is a UK Registered Charity No. 282938