APPLICATION FORM Joining National Heritage I wish to apply for

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					APPLICATION FORM: Joining National Heritage

I wish to apply for annual membership as follows (please tick appropriate boxes):

[   ]   Single £25
[   ]   Single concession (under 20/over 65) £20
[   ]   Double (2 membership cards, 1 set of publications) £40
[   ]   Affiliated museums & galleries £35
[   ]   Corporate membership £250
[   ]   I wish to add a donation of £……………………………………………
[   ]   I wish to GIFT AID my subscription and have filled in form below

[ ] I wish to pay by standing order and have filled in form below

[ ] I enclose cheque (payable to National Heritage) for £…………………………………

Name ………………………………………………………………………………………………

Address ……………………………………………………………………………………………

…………………………………………………………………………………………………………

…………………………………………………………………………………………………………

…………………………………………………………………………………………………………

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

Telephone …………………………………………………………………………………………

Email …………………………………………………………………………………………………

Using Gift Aid to pay a subscription, if you are a UK taxpayer, means that for
every pound you give National Heritage will receive an extra 28p from the Inland
Revenue. This means that a normal subscription of £25 becomes £32 when
donated through Gift Aid.

To qualify for Gift Aid you must be a UK tax payer, and what you pay in income
tax or capital gains tax must at least equal the amount we will claim in the tax
year. If you want your subscription to go further please Gift Aid it by ticking the
box and signing below.

[ ] I would like to Gift Aid this year’s subscription and all future
renewals.

Signed………………………………………………………………………….

Date…………………………………………………………………………….

[ ] NH Administrator has my permission to email me periodically regarding
events and other related matters, please tick if you do not agree.

Completed forms should be sent to:

Liz Moore, National Heritage Administration Centre, Rye Road, Hawhurst, Kent

Telephone: 01580 752052 Fax: 01580 755670
STANDING ORDER FORM

Please complete and post directly to your bank

To: Bank Name ……………………………………………………………………………

Branch: …………………………………………………………………………………………

Address: ………………………………………………………….……………………………

………………………………………………………………………………………………………

Sort code………………………………………………………………………………………

Bank Account name:……………………………………………………………………

Bank Account number …………………………………..……………………………


Dear Sirs,

Please pay to the account of:

National Heritage at Child & Co
(sort code 15-80-00, a/c no.64672218)

the sum of

£ ………………………………………

on ………………(day) ……………… (month) 2006

and every ………………(day) ………………(month) thereafter until further
instruction.

Yours faithfully,


Signed…………………………………………………………

				
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Description: APPLICATION FORM Joining National Heritage I wish to apply for