Membership application student form
1
an independent force for a better Bristol www.bristolcivicsociety.org.uk Registered charity No. 244414 Membership application - Student Annual subscription rate: £10. Please return to: Membership Secretary, Bristol Civic Society, 47 Abbey Rd, Bristol BS9 3QN. Cheques made payable to Bristol Civic Society if you are not paying by standing order. Enquiries: Tel: 0117 9622475 Email: [email protected] By completing this Gift Aid Declaration, Bristol Civic Society can increase the value of your subscription at no extra cost to you by claiming a tax refund. I would like tax to be reclaimed on my donation under the Gift Aid Scheme. I am a UK tax payer and pay an amount of income tax and/or capital gains tax at least equal to the tax that can be reclaimed on my donation. Please tick. YES NO Please write your email address below if you would like to receive news of events and the Society’s email bulletin and your phone number if case of queries: Forename………………………………………………….Surname ........................................................ Email…………………………………………….@ ............................................................................. Phone(s) .................................................................................................................. Standing order mandate To: (name and address of your bank, optional) ............................................................. ............................................................................................................................... Account Number ............................…….………Sort Code ................................................ Please pay annually from 1st of ................................ 1 20……… 2 the sum of £10 (ten pounds) to CAF Bank Ltd (sort code 40-52-40) for the account of Bristol Civic Society (account no. 00087355) quoting reference no. .....................(for completion by Bristol Civic Society). Name ....................................................................................................................... Address .................................................................................................................... Date……………………………… Signature .............................................................................. 1 insert next month 2 insert this year
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http://www.bristolcivicsociety.org.uk/images/Support-Us/Membership-application-student-form.pdf
Transcript of Membership application student form
an independent force for a better Bristol
www.bristolcivicsociety.org.uk Registered charity No. 244414
Membership application - Student
Annual subscription rate: £10. Please return to: Membership Secretary, Bristol Civic
Society, 47 Abbey Rd, Bristol BS9 3QN. Cheques made payable to Bristol Civic Society if
you are not paying by standing order.
Enquiries: Tel: 0117 9622475 Email: [email protected]
By completing this Gift Aid Declaration, Bristol Civic Society can increase
the value of your subscription at no extra cost to you by claiming a tax refund.
I would like tax to be reclaimed on my donation under the Gift Aid Scheme. I am a UK tax
payer and pay an amount of income tax and/or capital gains tax at least equal to the tax
that can be reclaimed on my donation.
Please tick. YES NO Please write your email address below if you would like to receive news of events and the
Society’s email bulletin and your phone number if case of queries:
Forename………………………………………………….Surname ........................................................
Email…………………………………………….@ .............................................................................
Phone(s) ..................................................................................................................
Standing order mandate
To: (name and address of your bank, optional) .............................................................
...............................................................................................................................
Account Number ............................…….………Sort Code ................................................
Please pay annually from 1st of ................................1 20………2 the sum of £10 (ten
pounds) to CAF Bank Ltd (sort code 40-52-40) for the account of Bristol Civic Society
(account no. 00087355) quoting reference no. .....................(for completion by Bristol
Civic Society).
Name .......................................................................................................................
Address ....................................................................................................................
Date……………………………… Signature ..............................................................................
1 insert next month 2 insert this year
