Membership Application Postal Form 

Please print this form and post it with your cheque

Your name (title / forename / surname)..............................................................................

Your address...............................................................................................................

.......................................................................................and postcode........................

Your phone number in full .............................................................................................

Your e-mail address if you have one .................................................................................

 

Current subscription rates

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Single member: £7.00
Joint members: £10.00   Two members at one address, receiving a single copy of our newsletter

Gift Aid and banker's orders

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As our Society is a registered charity we can recover income tax paid on your subscription.

Do you pay UK income tax? Yes / No.  Please treat my subscriptions as Gift Aid. Yes / No

I enclose a cheque for £........as my first subscription.

I have enclosed no payment and wish you to send me a banker's order form.

Under Inland Revenue regulations Gift Aid can only apply to payments from those who pay UK Income Tax.
If you change your address or stop paying Income Tax you must tell us.

Please post this form with your payment to:

Membership Secretary, Beeston and District Civic Society,
c/o 4 Penrhyn Crescent, Chilwell, Nottingham NG9 5NZ

To Beeston Civic Society home page