| THE
SHROPSHIRE UNION FLY-BOAT RESTORATION SOCIETY APPLICATION |
Please print out on your printer, complete
and send with your membership fee to:
MRS VALERIE READE, MEMBERSHIP SECRETARY,
SHROPSHIRE UNION FLY-BOAT RESTORATION SOCIETY LTD,
THREE BRIDGES, GRINDLEY BROOK, WHITCHURCH SY13 4QH
TEL: WHITCHURCH (01948) 663953
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I/We hereby apply for membership of the
Shropshire Union Fly-Boat Restoration Society Ltd. and agree to abide by the
rules of the Society. |
Type of Membership: (Please tick
appropriate box). Prices correct from 1st April 2008.
Family £15.00 Corporate
£20.00 Junior (under 18)
£3.00 Individual £12.00 Life
£250 |
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Name:
............................................................................................................. |
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Address:
.......................................................................................................... |
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Postcode:
................. Tel. No(s)
.................................... Email .................................. |
Would you be willing to help with boat
movements? YES/NO
Have you particular skills that you could
offer, or special interests? If so, please provide details:
............................................................................................................ |
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If you are able to add a donation to your
subscription, this would be appreciated. |
| Subscription |
£................ |
| Donation
|
£................ |
| Cheque
enclosed |
£................ |
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(Please make cheques payable to
Shropshire Union Fly-boat Restoration Society Ltd) |
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Signed:
........................... Date: ...................................... |
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To assist the Society financially, would
you please complete the following declaration to enable us to
reclaim tax on your Subscriptions and any other donations that you make to
the Society |
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GIFT AID DECLARATION
Please complete in capitals |
Full Name:
..........................................................
Address:
...................................................................................................................
Post code; ........... |
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I hereby declare that all donations that I
have made to the Shropshire Union Fly-Boat Restoration Society Ltd. on or
after 6th April 2000 and all donations I make from the date of this
declaration, until I notify you otherwise, can be treated as Gift Aid
donations. |
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Signature:
.......................................... Date: .............. N.B. To be signed only by a Taxpayer |
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BANKERS ORDER FORM |
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The Manager: ...................................... Bank
Address:
................................................................................................
Post code: ........................
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Please pay to: Lloyds TSB, Lord Street, Southport
Sort code: Account No.
30 - 97 - 88 1256245 |
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The sum of £................. amount in words
....................... pounds |
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Commencing: ..............................
and annually until further notice. |
Address:
.................................................................................................................
Post code: ..................................
Signature: .................................. Date:
..........................
Account No: ...........................
Name of Account: .......................
Sort code: ...................... |
|
Published by the Shropshire Union Fly-Boat
Restoration Society Ltd.
Registered Charity No. 1000859 Registered in England No. 2546885 |