EXETER CIVIC SOCIETY

Please print this form, complete it and post it to the address shown at the bottom.

Please enrol me as a member of Exeter Civic Society

Mr/Mrs/Miss/Ms ................................................................................................
(BLOCK LETTERS) 

Address................................................................................................................

..............................................................................................................................

..............................................................................................................................

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Postcode ........................................       Tel: ........................................................

Please pay your initial or life subscription by cheque to Exeter Civic Society and send it to the address below.

If you wish to pay annually in October by standing order, please indicate this here:            YES / NO

If you are a taxpayer in the UK, please complete the Gift Aid Declaration below. This is an easy way for Exeter Civic Society to increase its income at no additional cost to you.

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Gift Aid Declaration

Details of Donor:

Title ................... Forename(s) ........................................................................... 

Surname ..............................................................................................................

Address................................................................................................................

..............................................................................................................................

..............................................................................................................................

..............................................................................................................................

Postcode ........................................

I want Exeter Civic Society to treat all donations I make from the date of this declaration until I notify you otherwise as Gift Aid Donations. 

Signature ................................................. Date ...................................................

 Please note:

• In order for Gift Aid to apply, you must ensure that you pay an amount of income tax andlor capital gains tax equal to that which we will reclaim (currently 28p in each £1 you give).
• If you pay tax at the higher rate, you can claim further tax relief in your Self-Assessment tax return.
• Your declaration will continue until you cancel it, so please let us know if you change your name or address.
• You can cancel this declaration at any time by letting us know in writing. You may need to do this if your tax status changes

Exeter Civic Society is a registered charity, no 286932

Please send your completed form to:

pcoleman.ecs@btinternet.com 

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