FORM

NEWSLETTERS

WE ISSUE 4 NEWSLETTERS PER YEAR TO OUR MEMBERSHIP.

(PRINTED IN ENGLISH ONLY )

GO TO 'SAMPLE NEWSLETTER' PAGE TO SEE EXAMPLE OF EARLIER ISSUE.

THE MEMBERSHIP FEE IS CHARGED TO COVER THE COSTS OF PRINTING POSTAGE , and STATIONARY .

(NOONE WORKING FOR THE CLUB IS PAID A WAGE)

PERIOD OF MEMBERSHIP

MEMBERSHIP RUNS FOR 4 NEWSLETTERS,

AND THEN THERE IS A OPTION TO RENEW, OR CANCEL

FEES AND HOW TO PAY-please read VERY carefully:

.A COMPLETED MEMBERSHIP FORM MUST BE SENT TO US FOR NEW APPLICATIONS OR RENEWALS EVEN IF USING PAYPAL-SEE BELOW

NON-UK PAYMENTS

PAYPAL

(USE LINK BELOW)

OR CASH IN THE FOLLOWING CURRENCYS

$25 USA 20 EURO, £13 British Sterling( at senders risk)

WE DO NOT ACCEPT PERSONAL CHEQUES ISSUED OUTSIDE UK

The Official Leonard Nimoy Fan Club Membership Application form

TITLE (Dr,Mr,Mrs,Ms etc)...........................................................................................

Surname / Family Name.............................................................................................

First Name / s..............................................................................................................

Address.....................................................................................................................

.................................................................................................................................

Postcode/Zip.............................................................................................................

Country....................................................................................................................

Telephone no...........................................................................................................

Email........................................................................................................................

Method of Payment-----------------------------------------------------

Admount Enclosed...............................................Sent via Paypal...................................................

SOMETIMES WE ARE ASKED TO PROVIDE FANS FOR TV/FILM/PRESS IF YOU WOULD BE WILLING FOR YOUR CONTACT DETAILS TO BE PASSED ON TICK HERE............THERE IS NO OBLIGATION TO DO THIS AS A CONDITION OF MEMBERSHIP,AND WE WOULD ALWAYS CONTACT YOU FIRST,BEFORE GIVING OUT ANY PERSONAL CONTACT INFORMATION TO THE MEDIA.

FOR OFFICE USE ONLY:

Membership Number..................................................

Registration Date........................................................

Payment Details..............................................................................................................................

........................................................................................................................................................

Bank Name..................................................................

Account Name.............................................................

Account no .................................................................

Sort Code....................................................................

Paypal.........................................................................Cash............................................................

Expiry Date NL............................................................

THE OLNFC UNCONDITIONALLY RESERVE THE RIGHT TO CANCEL ANY MEMBERSHIP

IF WE DEEM IT NOT TO BE IN THE BEST INTERESTS OF MR NIMOY..THE CLUB, IT'S MEMBERS, OR WHERE THE FOLLOWING TERMS OR CONDITIONS HAVE BEEN BREECHED

.IN SUCH CIRCUMSTANCES WE RESERVE THE RIGHT

NOT TO OFFER ANY REFUND OF MEMBERSHIP FEE ETC

olnfc terms and conditions of membership are

That members pay their dues

should they fail to do so we will send at least one reminder before membership will be discontinued.

That members will respect Mr Nimoy,his family and friends privacy.

That members do not misuse club information or copyrights.

That members respect each other and uphold IDIC.

UK RESIDENTS £12

PAY BY CHEQUE, POSTAL ORDERS or CASH

( payable to OLNFC- Paypal is not accepted for UK payments )

SENDING CASH

If you are sending cash,please send only bank notes,no coin,and ensure money is not visable through the envelope,when it is held to the light.As the admount sent is not large,we do not recommend you register or record as that draws attention to the fact there is something of possible value inside.So far no fees sent this method have been lost,but we do point out that the fan club takes no resondsibility for this method of payment,and rather recommend using paypal,which is secure and easy to use if you have a credit card/bank account.However some countries currencies are not accepted by paypal so if you have problems because of this we do have other ways of payment,just contact us by email.

DATA PROTECTION ACT

The information you provide on this application form will be held on a computer data base,and will only be used for club purposes(ie to send out newsletters etc) and will not be given to other members,or any other persons,or organisations.

If you have any objections to this please inform us in writing as soon as possible,otherwise it will be assumed you are happy for your details to be stored