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MEMBERSHIP FORM Address..................................................... ..................................................... .....................................................Post Code................................... eMail................................................................................... Phone...................................................................................... I enclose a Standing Order/ Cheque/ International Money Order GIFT AID DECLARATION (Delete this paragraph if it is not applicable.) I wish The Society of the Friends of Milton's Cottage to treat this donation, and any future donation that I may make, as Gift Aid donations. I confirm that I pay income tax or capital gains tax at least equal to the tax deducted from this and any future donations.Signature........................................ Date......../......../............ Complete the Membership Form and Standing Order form (if applicable) and send them to: The Treasurer, Friends of Milton's Cottage, Milton's Cottage, Deanway, Chalfont Saint Giles, Buckinghamshire HP8 4JH Existing Friend £12 New Friend single adult membership £24 New Friend joint adult membership £36 Benefactor £84 Life Member Please write to the Treasurer STANDING ORDER The Society of the Friends of Milton's Cottage - Charity Number 274269 To The Manager,(name of Bank)......................................, (Bank address).............................., ............................................, ............................................, post code......................................... Sort Code ...... - ...... - ......Please debit my account number ...................... the sum of £............. now and (delete which is not applicable) monthly/annually hereafter and pay the Society of the Friends of Milton's Cottage, NatWest Bank PLC, Chalfont St Peter, sort code 60-05-50 account number 03606708 Signature........................................ Date...../...../..... |