Oldland Mill Trust - Friends Of Oldland Windmill : Membership Form

Oldland Mill Trust
Registered Charity No. 1072911
Membership Form

Please print out this form, fill it in and send it, with your subscription to :

Mr. John Pryse, Markham Rose, Theobalds Road, Burgess Hill, West Sussex. RH15 0SS.

I wish to join / renew my membership of Oldland Mill Trust
and enclose my subscription as below :

Life £ 50 Family £ 10 Individual £ 5

Junior (under 16) £ 2.50

Donation £ ..................

Your cheque should be made payable

to Oldland Mill Trust Total £ ..................

If you are a UK taxpayer please sign below to make your donation worth almost a third more by allowing us to claim Gift Aid.
Please treat the enclosed gift of £ and all gifts of money in the future as Gift Aid donations. You must pay an amount of income tax and/or capital gains tax in each tax year at least equal to the tax that Oldland Mill Trust will claim from H M Revenue & Customs on your Gift Aid donation(s).

Signed    ................................................................................    Date    ......................................

Title    ................    Initials    ..............................    Surname    .........................................................................

Address    .............................................................................................................................................

                  .............................................................................................................................................

Postcode     ......................................     Telephone     .........................................

Please notify the Trust if you want to cancel the declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. Oldland Mill Trust will reclaim 25p of tax on every £ you give. The Government will pay us an additional 3p on every £ you give between 6 April 2008 and 5 April 2011. This transitional relief does not affect your personal tax position. If you pay tax at the higher rate, you must include all your Gift Aid donations on your Self Assessment tax return if you want to receive the additional tax relief due to you.

Please circle if appropriate :- I am interested in helping with the following :-

Restoration Fund-raising Clerical work Open Day stewarding

www.oldlandwindmill.co.uk

I wish to join / renew my membership of Oldland Mill Trust and enclose my subscription as below :
Life £ 50	Family £ 10	Individual £ 5
Junior (under 16) £ 2.50
	Donation	£ ..................
Your cheque should be made payable
to Oldland Mill Trust	Total	£ ..................

Signed ................................................................................ Date ......................................

Title ................ Initials .............................. Surname .........................................................................
Address .............................................................................................................................................
.............................................................................................................................................
Postcode ...................................... Telephone .........................................

Please circle if appropriate :- I am interested in helping with the following :-
Restoration	Fund-raising	Clerical work	Open Day stewarding