The Richmond Society Membership Application
Registered Charity 285805
To apply for membership please print this page,
complete the form and send it to the Membership Secretary
Mrs Jacyntha Crawley, 23 Norfolk House, Courtlands, Richmond TW10 5AT.
Ordinary Annual Membership |
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£5 |
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Individual |
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£8 |
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Household (1-2 adults + children under 18) |
Life Membership |
Age under 60 |
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£120 |
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Single |
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£190 Double |
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Age 60 & over |
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£75 |
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Single |
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£120 Double |
Corporate Annual Membership |
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£30 |
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Companies |
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£13 |
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Non profit making organisations |
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I also enclose a contribution to the Society's Tree Planting Fund |
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TOTAL ENCLOSED cash / cheque |
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Name(s) |
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Address |
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Post Code |
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Telephone |
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Email |
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Taxpayers should also complete
the GIFT AID declaration below
I confirm that I wish my subscription
and any donations to be treated as Gift Aid payments until further notice.
I confirm that I am a taxpayer paying at least the amount of income
or capital gains tax the Richmond Society is able to reclaim on my payments
(£2.80 per £10.00 of donation at current rates of tax).
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Signed
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Date
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To pay by Bank STANDING ORDER
please also complete the section below
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Bank Name |
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Bank Address |
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Sort Code |
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Name |
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Account Number ........................................ |
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Signed |
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Dated ........................................ |
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The Richmond Society is Registered Charity No 285805
Enquiries to: secretary@richmondsociety.co.uk
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