AXE VALE & DISTRICT CONSERVATION SOCIETY
Registered Charity No. 266682
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Subscription Application/Renewal Form
(for the year ending 30th September)
Please print this form and send it with your subscription/donation to:
Hon Treasurer,  Mr Roger Ash,  37 Springfield,  Colyford,  East Devon,  EX24 6RE

I /We*  would like to join the Society* / renew our subscription*  and pay
£ ……..........  by Banker's Order (Banker's Order form enclosed)* / Cheque* / PO*.

I /We*   have* / have not*  received a copy of  the latest Newsletter.
( * Please delete as applicable)

Minimum Subscription and Donation:

●           £2.00 - Individual
●           £3.00 - Two persons at the same address
●           £0.50 - Junior (non-voting) member

Name (In Block Capitals)…………………………………………....................Mr/Mrs/Miss/Ms
Address:…………………………………………………………………………….....................
......................................................................................................................................................
……………………………………………………............... Postcode:……………………….....
Telephone Number:…………………………………........ Date:………………………..
(Please note that membership records are held in computerised form. If you have any objection to your details being held in this way, please notify the Treasurer or Membership Secretary).

Gift Aid Declaration:
Completing a Gift Aid Declaration ensures that we can make the most of your subscription/donation.

I, Title………… Forename…………………….................  Surname…………………………….........
Address:………………………………………………………………………………….....................
..............................................................................................................................................................
……………………………………………………...................... Postcode………………………….
want Axe Vale & District Conservation Society to treat all subscriptions/donations I have made since 6 April 2000 and all subscriptions/donations I make from this date as Gift Aid Donations until I notify you otherwise.

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

NB. In each tax year you need to pay enough income tax to cover the amount we shall be claiming from the Inland Revenue. At present we claim 28p in every £1. Please let us know if you no longer pay enough tax, if your name or address changes, or if you wish to cancel this declaration at any time.