The International
Nick Tate
Club

About the club

About Nick

Membership Form

The International Nick Tate Club
C/O Eileen & Phyll
87 Bromyard Road
Hall Green
Birmingham
B11 3AY
England

Email: pp012b4592@blueyonder.co.uk

MEMBERSHIP FORM

PRINT OUT THIS PAGE AND FILL IN THE FORM BELOW

Please send with correct dues to our address:

The International Nick Tate Club
C/O Eileen & Phyll
87 Bromyard Road
Hall Green
Birmingham
B11 3AY
England

PLEASE WRITE CLEARLY, IN CAPITAL LETTERS:

NAME:

 

FULL POSTAL ADDRESS, INCLUDING POST OR ZIP CODE:

 

 

 

 

DATE OF BIRTH: DAY _______ MONTH _______ YEAR(OPTIONAL)____

Dues

UK

£9
Pay by cheque or postal order

Europe (Euro)

20€ or uk£10
Euro notes, or UK sterling notes, or International Money Order

USA

$20

Canada, Australia
rest of world

$20
US, Canada or Australian dollar notes, or International Money Order

Notes for Overseas payment: We regret we cannot accept ordinary checks. Please pay either in cash in your own currency (or U.S. dollars or British pounds) Notes only, no coins. OR by International Money Order made payable in British currency (Pounds Sterling) in the amount equivalent to your dues in British currency. Make payable to The International Nick Tate club. All International money orders should be made payable to "The International Nick Tate Club".