The De Vere Society

Patrons: Sir Derek Jacobi, Mrs Verily Anderson Paget

Registered charity No. 297855

Secretary

Richard Malim, Brookmans Old Farm, Iwerne Minster, Blandford, DT11 8NG, UK

Tel: +44(0) 1747 - 811020, e-mail: malim@btinternet.com

MEMBERSHIP APPLICATION - EUROPEAN UNION

from NAME: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

ADDRESS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Telephone numbers, HOME: . . . . . . . . . . . . . . . . . . . . . . WORK: . . . . . . . . . . . . . . . . . . . . . .

E-mail address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Please sign below to confirm that the Society has your permission to hold these personal details on its computer database, which is used solely to maintain membership records.

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Please return this form with your dues to Secretary, at the above address. Please make cheques payable to THE DE VERE SOCIETY, crossed ‘A/c payee’, or use the enclosed Standing Order form.

MEMBERSHIP: please tick one:

Individual member £25

Family/household membership £30 (2 votes)

Corporate £30 (1 vote)

Subscriber only (0 vote) £15

Student £10 (1 vote), valid for maximum of 2 years

Life £250 individual, £300 family

Members and subscribers (who have no vote) receive the Shakespeare Oxford Newsletter, published in the USA, and the De Vere Society Newsletter, both published 4 times a year free.

Would you be prepared to help the Society in any of the following activities?

1. Accounting and fundraising 5. Educational

2. Membership recruitment 6. Organizing meetings/social events

3. Public relations & publicity 7. Publishing/access to the media

4. Original research 8. Other (suggestions please)

What aroused your interest in the Shakespeare authorship question, and particularly the case for Edward de Vere?

STANDING ORDER

To The Manager

______________________________ Bank

_________________________________

_________________________________Postcode _______________

Please pay from:

Account name _______________________________________________________

Account number _____________________________

the sum of £____:_____ on ________ (day) of ____________ (month) 20 ____

and annually thereafter until further notice to:

Barclay’s Bank plc, Oxford City Office Old Bank Branch

Sort code 20-65-18

for the credit of the De Vere Society, account number 40337188

Signed: _________________________________

Dare: _________________________________

Please return this form, completed, for registration to:

The Secretary

Brookmans Old Farm

Iwerne Minster

Blandford

DT11 8NN