EAST KENT RAILWAY

Registered Charity No. 1095790

MEMBERSHIP SUBSCRIPTION FORM

Please print this form on your printer, fill it in and send by snail-mail (enclosing the appropriate membership fee) to:

Nik Anthony, Membership Secretary EKR, 25 Amber Close, Earley, READING, Berks, RG6 7ED, England.

(Cheques payable to "East Kent Railway Trust" please).

I wish to apply for / renew membership of the East Kent Railway

I agree to abide by the rules and constitution of the Railway, and for my membership details to be held on a computerised database.

Type of membership required (please tick):

Full: £15 per year ________

Senior Citizen: £11 per year ________

Junior (under 16yrs): £7 per year ________

Family: £22 per year ________

Life Membership: £225 ________

 
Name: ___________________________________________________

Address: _________________________________________________

_________________________________________________________

Postcode: ______________ Tel. No.: __________________________

Signature: ___________________________ Date: _______________

Please use this space to indicate any particular skills you have that can help the railway:

_________________________________________________________

_________________________________________________________

Optional Gift Aid Declaration (see notes below):

Name of Charity: East Kent Railway Trust, Charity Number 1095790.

I want the charity to treat (please tick one, as appropriate):

______ the enclosed donation of £ ________

______ all donations I make from the date of this declaration until I notify you otherwise.

as Gift Aid donations.

Details of donor:

Title: ______ Fornames: _____________________________________

Surname: __________________________________________________

Address: ___________________________________________________

___________________________________________________________

Postcode: ___________

Date: _______________ Signature: ____________________________

Notes:

1) If your declaration covers donations you make in the future please notify the charity if you change your name or address while the declaration is still in force. 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.
2) You must pay an amount of Income tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the tax year (currently 22p for each £1 you give).