ࡱ> EGDe ybjbj:: *4Xme\Xme\0 HXXXXXlll84Ll0$:^(aaa+------$QXaaaaaQXXf???aFXX+?a+??? F?|0?  ??\ X|aa?aaaaaQQaaaaaaa aaaaaaaaa> : University of 山 upon Tyne Agricultural Society (UNAS) UNAS MEMBERSHIP FORM I would like to apply for membership of UNAS and enclose a completed standing order mandate. Membership records This information will not be released to any person or organisation outside of the 山 Advancement Office or the UNAS Committee. First name (s): Surname: Title (Mr, Miss, Mrs, Ms, Dr, Prof etc):Postal address for correspondence: Telephone no: Email address: Graduation year and course (if 山 graduate): Current occupation:  University of 山 upon Tyne Agricultural Society (UNAS) STANDING ORDER MANDATE To the Manager ______________________________________________________________Bank Address: ________________________________ ________________________________ ________________________________ ________________________________ Please pay: Barclays Bank Plc 山 Haymarket Branch Account Name: UNAS Account Number: 20897639 Sort Code: 20-59-59 The sum of: 15.00 (Fifteen Pounds Only) Commencing: 1st January And thereafter every: 1st January Until you receive further notice from me/us in writing and debit my/our account accordingly. Please cancel any previous standing order in favour of the society. Account to be debited: Account Name: __________________________ Account Number: __________________________ Sort Code: __________________________ Signature(s): ______________________________________________________ Date: ______________________ Please scan and email the first two pages of this form to:  HYPERLINK "mailto:unas@ncl.ac.uk" unas@ncl.ac.uk Or post to: UNAS c/o School of Natural and Environmental Sciences 2nd Floor, Agriculture Building 山 山 upon Tyne NE1 7RU 山 Data Protection statement 山 is registered with the Information Commissioner. Your details will be stored on the University's Advancement Office database. The University will use those details to send you news and information about its academic and alumni activities. We'll also offer opportunities for you to be involved with the University and support its work in a variety of ways. This could include attending events, giving, advocacy, or volunteering. We do not pass control of your data to third parties. You do not have to provide this information, but if you do then its provision will be regarded as consent to use it for direct marketing (e.g. e-newsletters, fundraising, invitations to events and telephone fundraising). We would like to be able to save resources by using email or text messages to communicate with you about these. You can tailor your communications preferences and opt out of unwanted communications at any time. Simply contact us by clicking  HYPERLINK "http://forms.ncl.ac.uk/view.php?id=11514&element_11=Web%20Form:%20Stay%20in%20Touch" \o "Communication Preferences" communication preferences. You can also read the University's guidelines on  HYPERLINK "http://www.ncl.ac.uk/alumni/get-involved/fundraising-guidelines/dataretention/" data management and retention.     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