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Great Western (SVR) Association membership application form

Charity Registration No. 1078718
Name: ...........................................................................
Address: ..........................................................................
....................................................................................
....................................................................................
Post Code: .......................
Email: .............................................................................
Please tick if you would like to receive the GW(SVR)A Newsletter electronically.
 
Type of membership:
Adult £10.00
Joint Adult £15.00
Child (under 16) £5.00
Senior citizen £5.00
Life member £60.00
Joint life member £75.00
 
The rates are kept low to encourage members to stay in the group but if you can afford a donation, it is always most welcome .
Membership: .......................
And a donation of: .......................
Total: .......................
 

Please send the completed form with cheque payable to 'Great Western (SVR) Association', Together with a stamped addressed envelope, to:
Membership Secretary, Rob Massey, 9 Shandon Close, Harborne, Birmingham B32 3XB

Gift Aid declaration

Please treat all donations and subscriptions that I make today and in the future as Gift Aid donations.
You must pay an amount of income tax and/or capital gains tax in each tax year at least equal to the tax that the GW(SVR)A will claim from HM Revenue & Customs on your Gift Aid donation(s).

Signature: ................................................................... Date: ...............................

Please notify the GW(SVR)A if you:
1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and/or capital gains.

Tax claimed by the GW(SVR)A:
The GW(SVR)A will reclaim 25p of tax on every £1 you give.
If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

 

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Page created April 2004, last updated: 28 January, 2016 Webmaster