an independent force for a better Bristol
Membership application - Joint Annual subscription rate: £30. Please return to: Membership Secretary, Bristol Civic Society, 47 Abbey Rd, Bristol BS9 3QN. Cheques made payable to Bristol Civic Society if you are not paying by standing order. Enquiries:
Tel: 0117 9622475
Email:
membership@bristolcivicsociety.org.uk
By completing this Gift Aid Declaration, Bristol Civic Society can increase the value of your subscription at no extra cost to you by claiming a tax refund. I would like tax to be reclaimed on my donation under the Gift Aid Scheme. I am a UK tax payer and pay an amount of income tax and/or capital gains tax at least equal to the tax that can be reclaimed on my donation. Please tick.
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Please write your email address below if you would like to receive news of events and the Society’s email bulletin and your phone number if case of queries: Forename (1)………………………………………………….Surname ................................................... Forename (2)………………………………………………….Surname ................................................... Email…………………………………………….@ ............................................................................. Phone(s) ..................................................................................................................
Standing order mandate To: (name and address of your bank, optional) ............................................................. ............................................................................................................................... Account Number ............................…….………Sort Code ................................................ Please pay annually from 1st of ................................1 20………2 the sum of £30 (thirty pounds) to CAF Bank Ltd (sort code 40-52-40) for the account of Bristol Civic Society (account no. 00087355) quoting reference no. .....................(for completion by Bristol Civic Society). Name ....................................................................................................................... Address .................................................................................................................... Date……………………………… Signature .............................................................................. 1
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2
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