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:

1. If your declaration covers donations you may make in the future, please notify the charity if your change your name or address while the declaration is still in force.
2. You can cancel the declaration at any time by notifying the charity – it will then not apply to donations you make on or after the date of cancellation, or such later date as you specify.
3. If in the future your circumstances change and you no longer pay tax on your income and capital gains tax equal to the tax that the charity reclaims, you can cancel your declaration (see 1).
4. If you pay tax at the higher rate you can claim further tax relief in your Self Assessment Tax return.
5. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity. Or ask your local tax office for the leaflet IR113 Gift Aid.