Membership form

SHERINGHAM AND DISTRICT SOCIETY MEMBERSHIP

Title…….. First name(s)………………………………. Surname…………………………………

Additional member(s) at same address

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Address …………………………………………………………………………………………………….

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Post Code ………………….. Telephone …………………………….

E-mail ……………………………………………………………………….

Annual membership (please tick) Single, £5; Couple, £6; Family, £7

Gift Aid declaration (please complete if eligible or strike through if not)

I am a UK taxpayer and I authorise the Society to claim Gift Aid on my subscription together with any donation I may add. This applies to any payment I make now, have made in the last four years or will make in the future. I understand that I must pay sufficient income and/or capital gains tax to cover the total of all the subscriptions and donations under Gift Aid I make to all organisations in the relevant year. I will inform the Society if my eligibility for Gift Aid changes.

Signature ………………………………… Date ……………………………….

After completion please send with your payment to The Membership Secretary, Sheringham and District Society, The Fishermen’s Lifeboat Museum, West Cliff, Sheringham, NR26 8JT. Payment in the form of a cheque is preferred, but cash is acceptable if handed directly to a committee member (e.g. at a society event). Please make cheques payable to The Sheringham and District Society.