Membership Form

You may express your interest to join by filling out the form below.

Title: Mr. Mrs. Ms
Full Name
Address


Post Code
Telephone
Date of Birth
Occupation
Date
Gift Aid		See below

Gift Aid

We, who have given our names and addresses above, and who have ticked the box headed ‘Gift Aid’, want the charity named above to reclaim tax on the donation detailed above, given on the date shown. We understand that each of us must pay an amount of income tax or capital gains tax equal to the tax reclaimed by the charity on the donation.