Please print out this form and after filling out post to:-
To: The Treasurer
Labour Economic Policy Group
72 Albert Street,
London, NW1 7NR
From: Name _____________________________________________________
Organisation (if any) __________________________________________
Address ____________________________________________________
____________________________________________________
Telephone _________________________ Please include your postcode
Alternatively, I wish to pay my subscription by Bankers Order, and I have completed the form below.
Date _______________________ Signature _____________________
__________________________________________________________________________
To: The Manager, _________________________________________Bank
Bank Address: ____________________________________________
____________________________________________
__________________ Sort Code ___________
Please pay to the account of the Labour Economic Policy Group, account number 97298115 at National Westminster Bank Plc, 15 Bishopsgate, London, EC2P 2AP, sort code 50 00 00, the sum of £ ______________ at intervals of ________ months, with the first payment to be made on _________________. Please debit my bank account number ________________, which is in the following name ___________________________________
Date _______________________ Signature _______________________________