SHELL PENSIONERS ASSOCIATION APPLICATION

PLEASE FILL IN EACH SECTION TO COMPLETE THIS FORM AND SUBMIT IT TO US.

NEW MEMBERS: PAY £10 ONLINE INTO OUR HSBC ACCOUNT:
SORT CODE: 40-02-44 ACCOUNT NUMBER: 32574764
REFERENCE: YOUR SURNAME AND PENSION NUMBER

For members living abroad who may need to use our IBAN number it is GB09HBUK40024432574764

Title *

Other title *

First name *

Middle name

Surname *

Day of birth *

Month of birth *

Year of birth *

Email address *

Address *

Address line 2

Address line 3

County

Town *

Post code *

Country *

Your pension number:

Country code

Mobile/Telephone number

Are you joining as a new member or are you taking over your late partner's membership? *

Would you like to receive SPA News magazine via the website, where it can be downloaded, or as a paper copy? If you live outside the UK, please choose the downloaded version. We do not post magazines abroad. *

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SHELL PENSIONERS ASSOCIATION APPLICATION

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