MEMBERSHIP FORM

When PAPYRUS trustees discuss what the charity needs to do, we look to the experiences of our members to help us. If you want to help young people to live with hope, you can give our work some special meaning. Join PAPYRUS to make a difference (please see Page 2 for how you can be more active within PAPYRUS). Thank you.

YOUR DETAILS

Title:

Name:

Address: Telephone:

Town: Email:

County: Date of Birth:

Post Code:


If you have been bereaved by suicide, please state your relationship to the person who died:


PAPYRUS will treat any information given here as confidential and will never use it for marketing purposes.
We will store it and use it only to be able to contact our members and share information with members about the charity.


YOUR MEMBERSHIP FEE / ANY DONATIONS YOU WISH TO MAKE

I enclose my annual membership fee:

I wish to pay by Standing Order: please see separate form

I enclose a donation of £ Please tick this box if you require a receipt

Newsletter: You will receive our paper copy newsletter three times per year as part of your membership. The newsletter costs us £1.50 per copy.
If you require additional copies of mailings, please tick this box and indicate the number here:


DECLARATION

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

?

Signature:


Date:

NB Please notify us if you no longer pay an amount of Income Tax/Capital Gain Tax equal to the tax we reclaim on your donation. This declaration can be cancelled by you at any time.

Please print and sign this form and return it to:

PAPYRUS 67 Bewsey Street Warrington Cheshire WA2 7JQ
or

Engagement

PAPYRUS receives a lot of requests from people who want to engage with our work. So that we can best plan this and support your engagement with PAPYRUS, please indicate here how you would like to become more involved in our work.

1.  Your interests (please tick all that apply. N.B. training and support will be given.

I am interested in:
Being trained to develop life saving suicide prevention skills
Sharing my personal story with the media team
Volunteering occasionally at the PAPYRUS office in Warrington
Promoting PAPYRUS in my area
Representing PAPYRUS at local events
Sharing my opinion as a young person (under 35 years)
Campaigning
Fundraising
Are you following us on:
Twitter @PAPYRUS-tweets
Facebook facebook.com/PAPYRUSUK / Please choose from the region listed with which you would most associate yourself.
England / Scotland
South West / West/Glasgow
South Yorkshire / East/Edinburgh
North Yorkshire / Highlands/Aberdeen
West Yorkshire
West Midlands / Ireland
East Midlands / Northern Ireland
North East / Wales
North West / North Wales
East England / South Wales
Greater London / Mid Wales
South East / Outside of the UK

2.  Updating information

We are trying, sensitively, to update our databases. If you have been affected personally by or bereaved by a young suicide and are able to share this information with us please fill in the details below
Name of the deceased
Year of death / Age:
Relationship to you (i.e. son, daughter, partner, brother, sister, cousin, friend)

3.  And finally…

Thank you for your support, it is very much appreciated. Please use the space below to add any further comments or information you think may be useful to us.

Best Wishes

The PAPYRUS Team