The Membership Secretary,
Wilts & Berks Canal,
16 Firham Park Avenue,
Romford,
Essex
RM3 0SJ.
I/We wish to apply for membership of the Wilts
& Berks Canal Trust and agree
to be bound by the provisions of its Memorandum and Articles of Association.
Name:
Address:
Tel:
E-mail:
Age (if under 18):
Skills offered:
Which branch do you wish to join:
Cricklade
MEMBERSHIP FEES (Tick as appropriate)
Standard (one copy of Dragonfly,
one vote)
£10.00
Senior Citizen/Concessionary
£5.00
Junior (under 18)
£5.00
Company Rate
£25.00
Family (two adults at one address)
+ Juniors
£15.00
N.B. Family rate allows one copy of Dragonfly
and two votes at an AGM
or EGM. Life membership is also available. Please enquire for details.
Voluntary Donation £ Total Enclosed £
(Cheques Payable to The Wilts & Berks Canal
Trust)
Signed .. . ..Date . ..
GIFT AID DECLARATION
If you pay Income Tax or Capital Gains Tax, you
can make your subscription
worth more to the Group by signing a Gift Aid Declaration. This does not
cost you any extra but you must already pay an amount of tax at least equal
to the tax we reclaim on your donations - Please let us know if you cease to pay
tax.
I am a U.K. taxpayer and wish the charity to
treat all my subscriptions and
donations from the date of this declaration as Gift Aid Donations.