ASPROM logo ASPROM

The Association for the Study and Preservation of Roman Mosaics


Application for Membership

Please enrol me as a member of ASPROM.

Title
Name
Address
Postcode
Telephone number
Email address
Membership category Ordinary member Joint members Corporate member
Student. End of course: (Please supply proof of status, e.g. a copy of your student card.)
Subscription £
Payment method I enclose a cheque or postal order I have paid through PayPal
Please send me standing order form Gift Aid form
Date

Please print this form and return it to the Membership Secretary:
Claire Gayle, 89a Gunnersbury Avenue, Ealing, London W5 4LR, United Kingdom.

Please enclose a cheque or postal order for the appropriate amount (in sterling, payable to ASPROM), or pay through PayPal, using the button on the Membership page.

Subscriptions are due on 1st January each year. There is a discount of £1 for members paying by standing order; if you would like to pay future subscriptions by this method, please check the box above. She can also supply a Gift Aid form, which increases the value of your subscription by 25%.


UK registered charity no. 802883.


 
This page is maintained by Ruth Westgate. Last modified 19 May 2016.