Durham Bird Club Membership Renewal Form 2007

 

Please check your details below and return with your membership payment. PLEASE NOTE THAT SUBSCRIPTION PRICES HAVE RISEN. IF YOU PAY BY STANDING ORDER YOU MUST NOTIFY YOUR BANK THAT YOUR SUBSCRIPTION NEEDS TO INCREASE. Unfortunately the club cannot do this for you.

 

Name:                            ………………………………………………………………………………………………………

 

 

Address:                        ……………………………………………………………………………………………………….                          

                                        ………………………………………………………………………………………………………..

 

                                        ………………………………………………………………………………………………………..

 

Telephone No:             ………………………………………………..

 

E-mail:                           ………………………………………………………………

 

 

Membership Category rates: Ordinary £14, Family £16, Concession £10.00, Junior (17 or under) £5

 

Standing Order:       Please consider paying by standing order and complete the form below.

Gift Aid:                      If you are a taxpayer, please also consider completing the gift aid form below.

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Durham Bird Club Membership Standing Order

 

To           ……………………………………………………………Bank/Building Society

 

Full Postal Address             ………………………………………………………………………..

 

………………………………………………………………………………………………..

 

Post Code              ……………………………..                  Sort Code              ………………………..

 

Please pay DURHAM BIRD CLUB the sum of £……………. (Your subscription rate) commencing immediately and then every year on 1st January until further notice.

 

Durham Bird Club account details:   HSBC, Gateshead branch.  Sort Code 40-22-04   Account no. 01257056

 

Your account no. …………………………..                      Your account title……………………………………..

 

Your signature…………………………………….             Date……………………………………………..

 

Notes – All of your account information can be found on your cheque book.  Some banks and building societies may not accept Standing Order instruction on some types of account. Please check with your financial institution.

Gift Aid Declaration to the Durham Bird Club

Full Name……………………………………………………………………………………………………….

 

Full Address…………………………………………………………………………………………………….

 

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

 

Declaration – I wish the Durham Bird Club (Charity no. 515101) to reclaim tax on all donations and subscriptions I have made since 6th April 2000 and all donations and subscriptions I make hereafter (only complete if you are eligible for income or capital gains tax)

 

Signed……………………………………………………………………..Date………………………………..

 

PLEASE RETURN THIS FORM to Sandra Judd, Membership Secretary, 22 Melrose Crescent, Seaham, Co Durham. SR7 0LD