Membership renewal/application form

I/We wish to apply/renew for membership and enclose:

£ ………………………… for membership (£15 for one person; £22.50 for a couple)

Half price for the part-year if joining 1 March – 31 August

£ ……………………….. for corporate membership (£100.00)

£ ………………………… as a voluntary donation

Total £ ………………..………..

Please complete the Standing Order mandate or make cheques payable to:

Royal Tunbridge Wells Civic Society

The Subscription year is from 1st September – 31st August each year.

PLEASE PRINT name(s) of those in the household wishing to apply/renew:

Full Name(s) and Title......

Address ......

Postcode...... Tel ......

e-mail address......

Please tick this box if you agree to receive communications via email

Gift Aid Declaration

By completing the GIFT AID Declaration below your contribution will be boosted by 25p for every £1 you donate:

I want to gift aid my donation of £………………………and any donations I make in the future or have made in the past 4 years to the Royal Tunbridge Wells Civic Society

I am a UK taxpayer and understand that If I pay less Income tax or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference

Signature of taxpayer………………………………………………………………………….. Date………………………………..

Please notify the Society if you:

want to cancel this declaration

change your name or home address

no longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code

Please send this form and Standing Order mandate or cheque, enclosing an A5 sized stamped addressed envelope to:

Trina Lewis,

Claremont Lodge

49 Claremont Road

TUNBRIDGE WELLS

Kent TN1 1SY

STANDING ORDER MANDATE

To: (name and address of your bank as stated on your cheques)

……………………………………………………………………………….…………………… Bank

…………………………………………………..………………………………….……………………….

………………………………………………….………. Postcode …………..…….. Bank sort code

…………………………………………………….

Please pay:

CAF Bank Ltd

25 Kings Hill Avenue West Malling

Kent ME19 4JQ

Sort Code 40-52-40

For the credit of

ROYAL TUNBRIDGE WELLS CIVIC SOCIETY No 1 A/C No 00017200

The sum of …………………………………………………………….. Amount in words …………………………………………………….

Starting on 1st September 20 and thereafter annually on 1st September until this order is cancelled by me.

Account to be debited (name of account holder(s))

…………………………………………………………………………………………………………….…..

Account No. ………………………………………………………….. Signed …………………………………………………………………… Date ………………………………………………………………………

If you would like to help the Society, please tick those ways which might suit you:

 Planning Applications

 Architectural advice

 Representation of views

 Traffic issues

 Cultural/Social Issues

 Environmental Issues

 Local History Group

 Social functions

 Writing publications

 Sales of publications

 Publications

 Secretarial/admin

 Recruitment/liaison with members

 Delivery of newsletters

Name…………………………………………………….

Email…………………………………………………

Telephone number……………….………………………………………………………….