TCA ONLINE APPLICATION FORM

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Full Name* This field is required.

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1. TYPE OF MEMBERSHIP* This field is required.(Please select)

FULL - served at least 24 hours on a TON

ASSOCIATE - served in support role or Other MCM Experience or Interest

LIFE MEMBERSHIP is available for a one-off subscription of £150 (One Hundred and Fifty Pounds). Payment either by cheque or BACS Transfer

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I wish to receive TON Talk magazine in:* This field is required.

Paper Format

Electronically

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2. PERSONAL DETAILS* This field is required.Date of birth (DD/MM/YY)

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PERSONAL DETAILS CONTINUED* This field is required.

Street Address

Street Address Line 2

Town/City

County

Post Code

Country

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Phone Number* This field is required.

Phone Number

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Email

example@example.com

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3. SERVICE DETAILSWhere appropriate

Arm of the service: RN/RNR/RNVR/Royal Marines/Army/RAF/Other Service.

Rank/Rating when serving in a TON/MCMV.

Rank/Rating on leaving the service

Current Rank/Ranking if still serving

Decorations and Campaign Medals

Country

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4. TONs or other MCMVs or OPVs Served OnWhere appropriate

Ship

Year From

Year To

1

2

3

4

5

6

7

8

1

2

3

4

5

6

7

8

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

Ship

Year From

Year To

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5. Other MCM Experience or InterestIf you haven't completed section 3 and 4, please complete this.

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6. PAYMENT of ANNUAL SUBSCRIPTION* This field is required.Three options are available. Please select by ticking one only from the list below.

by Cheque, each year.

by BACS Transfer to be paid each year

by Bank Standing Order paid automatically each year N.B. TCA prefers this option

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BACS Transfer to be paid each year (See below for details)

PLEASE USE YOUR OWN BANK'S FORMAT TO SET UP A BACS TRANSFER

Details of TCA's bank as the recipient are:

Barclays Bank Ltd, South Leicestershire Group, PO Box 483, Leicester LE3 0ZR

Sort Code: 20-49-08 Account No: 40285919 Name: The TON Class Association

Reference: Surname, One Initial & SUBS e.g. Smith J SUBS

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Bank Standing Order paid automatically each year N.B. TCA prefers this optionMANDATE FOR BANK STANDING ORDER

TO: (Name of Bank)

Address 1

Town/City

County

Postal

Country

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Instruction for Bank Standing Order* This field is required.

New Instruction

Please amend previous Instruction

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Account Information* This field is required.On receipt of this Order please pay to the TON Class Association the sum of £15 (Fifteen Pounds) and Debit my account

Please Fill In below

Sort Code

Account Number

Name

Sort Code

Account Number

Name

Please Fill In below

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Beneficiary: Barclays Bank Ltd, South Leicestershire Group, PO Box 483, Leicester LE3 OZR

Sort Code: 20-49-08 Account No: 40285919 Name: The TON Class Association

Reference: Surname, One Initial & SUBS e.g. Smith] SUBS

Amount of First Payment £15 (Fifteen Pounds Please make immediate payment, then on the same date annually until further notice.

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Customer Signature* This field is required.On computer use mouse or trackpad or on tablet use finger on screen

Clear

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Date* This field is required.

Date

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Customer telephone no.* This field is required.

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Please double check all details, especially Bank Name, Sort Code and Account Number.

Please contact Dennis if you have any queestions about the form or our On-line process.

PHONE: 01909 481745

EMAIL: dcook1727@gmail.com

Membership of TCA implies that your contact details may be disclosed to other members of TCA by the Membership Secretary, if you do not agree to this contact the secretary.