Print out and Return this document to the address below:      

Please complete in BLOCK CAPITALS

I wish to join the Friends of the 58th (F58) and receive four
issues of "Payback". I enclose a cheque/postal or money order
for £___.___ payable to F58.

NAME:_______________________________

AGE (if under 18):_______________________

ADDRESS:_____________________________

______________________________________

______________________________________

______________________________________

POSTCODE:___________________________

SIGNATURE:_____________________________		DATE:_______________________

PLEASE RETURN YOUR COMPLETED FORM AND PAYMENT TO:

F58
3 NORWICH ROAD
DICKLEBURGH
NORFOLK
ENGLAND
IP21 4NR

WE AIM TO ISSUE YOUR MEMBERSHIP PACK WITHIN 28 DAYS, SUBJECT TO EXTERNAL FORCES.
CHEQUES ETC WILL NOT BE CASHED UNTIL YOUR PACK IS ISSUED.

F58 is a non-profit making club. No attempt is made to supersede any rights held by
20th Century Fox, Fox Television, Hard Eight Television Productions or anyone else
holding copyright in Space: Above and Beyond material.

FRIENDS OF THE 58TH ENLISTMENT FORM

ATTENTION TO ORDERS

2000 MEMBERSHIP RATES

(All payments must be in U.K. Sterling)

U.K. & EIRE: £7.50

EUROPE: £10.00

BEYOND EUROPE: £20.00

This section is optional

TEL No:____________________________


DATA PROTECTION ACT:

This is a statutory notice as prescribed by this Act. In accordance with the conditions
governing the maintenance of machine-readable records by non-incorporated member's clubs.
F58 must advise that the name and address of every member are held in a computer-readable
format to more efficiently despatch newsletters. The information is used for this purpose
only, and will not be disclosed to any other party whatsoever without the the specific
consent of the data subject (ie the member concerned). You should be aware that you have a
statutory right for your details to be deleted from computer records and for your newsletter
to be addressed manually.