Application for Membership

Please print and send this form with a payment of £10.00 for the current year’s membership to the Hon. Secretary. Bertram Aitchison QPM. Trentham Lodge, Haywood Road, Moffat, DG109BU. Cheques made payable to DAGFAS

Designation………………………………………………..
Name ............................................................................ Address…………………………………………………….. ………………………………………….............................. Tele.No………………………………………..
e-mail………………………………………………

Exhibiting Name if different………………………………..
Please indicate if you have a Fine Art Qualification ……………………………

As a matter of administrative convenience we would welcome an annual subscription paid
by bankers order. A form is available on the website for this purpose.

To the Hon. Secretary: Please accept this application for membership.
I have /have not sent the standing order to my bank.

Signature………………………………………

date………………………………………….....