The NOA 200 Club is a small lottery that raises funds for the Norfolk Ornithologists’ Association, primarily helping to cover staff costs which the Association could not otherwise meet. The Club holds 4 draws a year, each draw offering a first prize of up to £250 plus 5 other cash prizes.

The rules of the Club may be viewed here

You are invited to support the work of the NOA by joining the 200 Club. An application form is given below. However, if you would prefer to receive a personalised application form, please email Ann Newman, the volunteer Promoter of the Club, at ann.noa200@gmail.com, stating the number of shares you wish to purchase and your preferred method of payment, and I will email you the necessary forms.

If you have any queries or need any assistance, please don’t hesitate to email me, or drop me a line: Ann Newman, 6 Nelson Drive, Hunstanton, PE36 5DU, ann.noa200@gmail.com.

The NOA 200 Club - Membership Application Form

Name(s): ......................................………………………………………………………………….....................

Address: ......................................……………....................…………………………………………………….

………….………………………………………… Postcode: ………………...………………………

Telephone Number: ……….………………………………………………………….....................

E-mail Address: …………………………………………………………………......................

(Future correspondence will be via e-mail where possible, to reduce administration costs.)

NOA Membership is not required in order to join the 200 Club, but, if you are a member of the NOA,

please give your membership number (if known): ....................................…………………….....……

Please confirm (by ticking) that you are at least 16 years of age …...…….....…….

How many shares @ £24 per year would you like to purchase? …...…….....…….

Payment

Payment by standing order is preferred (either quarterly @ £6 per share, or annually @ £24 per

share), but annual payment (£24 per share) by cheque or one-off bank transfer is also accepted.

Please complete one of the following:

1. I have sent to my bank (or set up online) a Standing Order instruction for £ …….. per quarter

2. I have sent to my bank (or set up online) a Standing Order instruction for £ …….. per year

3. I enclose a cheque for £ …..….., payable to ‘NOA 200 Club’

4. I have arranged a one-off bank transfer for £ ….....….. on ..................................... (date)

to the NOA 200 Club bank account, number: 70589993, sort code: 20-46-65.

Payment deadlines

To ensure that paid-up shares can be correctly identified for inclusion in an individual draw (or run

of draws), forms must be returned and payments must be made by the deadlines set out below.

These deadlines take account of normal banking procedures, transfer times, etc. If payments are

made after the deadline, the shares will be included in the next draw (or run of draws).

Draw Payment	January	April	July	October
Quarterly S/O (£6 per share) to run on	1^st January	1^st April	1^st July	1^st October
Annual S/O (£24 per share, for inclusion in next 4 draws) to run on	20^th December	20^th March	20^th June	20^th September
Cheque (£24 per share, for inclusion in next 4 draws) to reach Promoter by	20^th December	20^th March	20^th June	20^th September
One-off bank transfer (£24 per share, for inclusion in next 4 draws) to be made by	31^st December	31^st March	30^th June	30^th September

Please return this form to the Promoter:

Ann Newman, 6 Nelson Drive, Hunstanton, PE36 5DU, or e-mail to ann.noa200@gmail.com

Standing Order Form

(Please detach and send direct to your bank, or set up arrangement online)

To The Manager, ……………………………………………………............... Bank/Building Society

Address: ......................................……………....................…………………………………………………….

………….………………………………………… Postcode: ………………...………………………

Please make the payments detailed below and debit my/our account.

Name of account to be debited: …………………………………………………….............................

Account number: ...................................... Sort code: .......... - .......... - ..........

Payments to be made to:

Barclays Bank Plc, Account Number: 70589993, Sort Code: 20-46-65

Reference number: ……………………………………………………....................... (postcode of applicant)

Quarterly Option *

Please pay the sum of £............ (£6 per share) on the 1^st January / April / July / October **

.............. (year) and quarterly thereafter until further notice, to the credit of NOA 200 Club.

OR

Annual Option *

Please pay the sum of £............ (£24 per share) on the 20^th March / June / September / December **

.............. (year) and annually thereafter until further notice, to the credit of NOA 200 Club.

This instruction replaces any prior instruction in favour of NOA 200 Club.

Signed: ……………................……………………….. Date: .....………………………

Name: ……………................………………………..

* Please complete either the Quarterly Option or the Annual Option

** Please indicate the amount, month and year for your first payment

(e.g. £12 on 1^st January 2012 if you wish to purchase 2 shares by quarterly payment,

or £48 on 20^th December 2011 if you wish to purchase 2 shares by annual payment).

Please delete the details which do not apply.