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Malmesbury River Valleys Trust
Registered Charity No. 1015802 A company limited by guarantee – Reg no. 2771429
Membership Application Form
Please send to our Treasurer Mr A Poolman, Avon House, 25 Abbey Row Malmesbury, Wiltshire, SN16 0AG Tel. 01666 826363
I/We wish to support the Trust by becoming a member
Name ………………………………. Phone………………………………
Address……………………………… Email……………………………….
………………………………
………………………………
I/We would like to become (a) life member(s) and enclose *£50 individual/£100 family
OR to pay an annual subscription by standing order
individual * £8
family * £16
I/We would also like to make a donation and enclose * £__
* Delete that which does not apply
Gift Aid The Trust is able to claim from HMRC 25p for every pound of your donation, provided that you pay income tax at least to that amount. Please complete the following declaration:
“I am a UK tax payer and wish the Trust to treat all my subscriptions/donations from April 2005 and until I advise it otherwise as Gift Aid Donations. “
Signed…………………………………. Date …………………
………………………………………………………………………………………………………….
Bank Standing Order Form
To your bank From you
Name………………………………. Name…………………………………
Address……………………………. Address………………………………
…………………………….. ………………………………….
…………………………….. ……………………………….
Postcode…………………………… Postcode…………………………….
Please pay to Malmesbury River Valleys Trust at Co-operative Bank, Skelmersdale Code 089299 A/c No. 65131260
the sum of £…………. on the date of receipt by you of this order and annually on the same date thereafter until cancelled by myself and debit my account No…………………. in the name of …………………….
Signed…………………………….. Date……………………
Send to Treasurer for registration who will send to bank.