Friends of St.Levan
Friends of St. Levan Application Form
Please enrol me as a Friend of St. Levan.
Name ………………………………………… Address……….……………….………………………………...…………………………………………………………………Postcode…………… Email address - if available…………………… ………………………………………………… Date ………………………………..
Annual subscriptions: UK Members Annual £10 Life (minimum) £200 Overseas Members Annual £20 Life (minimum) £300
Please make cheques payable to: The Friends of St. Levan Overseas members are asked to pay in sterling if possible.
Send cheques and all completed forms to: David Knight The Friends of St. Levan 3 Ocean Quest, 34 Douglas Avenue, Exmouth EX8 2FD davidaknight2@gmail.com
Confirmation of enrolment will be provided if requested BANKERS ORDER
Please use this form if you wish to pay your subscription annually by Bankers Order.
To………………………………………..Bank Address............................................................................................................................................................................Postcode......................... Please pay to Nat West Bank, Penzance (sort code 60-16-22) for the account of the Friends of St. Levan (AC No. 19126980),
The sum of £……………………… (in words……………………………………..) commencing on (date)……………………… and thereafter annually.
Name ………………………………………… Address…………………………………….. ……………………………………………...………………………….Postcode…………....... Bank account number……………………...…. Sort Code ..........................................................
Signature……………………………………...
Date ………………………………………… GIFT AID DECLARATION
If you are a UK taxpayer, please complete this Gift Aid declaration to increase your donation to the Friends (currently by 25p for every £1 donated).
Full Name …………………………………...………… Address…………………………………...…….…….…..……………………………………….………...……………………………………………...……………………………….Postcode…………...
Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and in the past four years. I am a UK taxpayer and understand that if I pay less Income Tax and/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 ………………………………... ………………………………... Date…………………………….
Notes:
|
|
![]() |