NEW MEMBER FORM  Swanage Grammar School Association

School

Surname

Forename Current name

 if different

Initials
Name for

correspondence

Date of Birth
Address including

postcode

Home phone number Work phone number
Dates at

school

Year your form

started at school

House
Oldfelder Pupil or Staff Married SGS Pupil
Committee

 member

E-mail address
Additional information

 for database

 

You should be aware that information will be stored on a computer database

Subscriptions

The subscription is £5 annually and The Swan and The Swan Newsletter (one or other is produced most years) is free to members.  The Association uses its excess funds both to support the reunions and to support charitable work including Casa Alianza (working for South America street children) as well as Purbeck local schools and charities. You may, if you wish, give additional sums to support this work.  

  Current year’s subscription           ………………………..…………£ 5

  Charitable contribution if you wish        ……………………………   £……

  TOTAL DUE NOW……………    £……

Please either enter this in the  money space in figures and in words and send your cheque payable to "Swanage Grammar School Association". When filling in the Standing Order Mandate choose "immediately" unless you have already paid advance subscriptions in which case you should enter the next 1st. January after your last subscription and include any charitable contribution, if you so wish.

Please print, fill in and return your forms and subscription details to Malcolm Batt, 228 West Way, Broadstone, Dorset, BH18 9LL
       email - MalcolmTBatt@aol.com
Please remember to enclose your cheque or the Standing Order Mandate.

If you wish to pay subscriptions by Standing Order, Please Click Here