THE FRIENDS OF HOPE BAGOT CHURCH

Enrolment Form

 

To: Professor Michael Hamlin, The Coombes, Hope Bagot, Ludlow, SY8 3AQ

Please enrol me as a member of the Friends for which I enclose £5.00 membership fee.

Name ……………………………………………………………………

Address ……………………………………………………………………

……………………………………………………………………

Tel No ………………………… Date ……………………………

Gift Aid Declaration

Please regard the enclosed donation (or Standing Order donation) and all donations I make from the date

of this Declaration until I notify you otherwise as Gift Aid donations.

Signed …………………………………………………..

Notes:

Please remember that 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.

If you pay at the higher rate you can claim further tax relief in your self assessment tax return.

Standing Order Instruction

Please pay The Friends of Hope Bagot Church, HSBC Bank plc, 10 Bull Ring, Ludlow SY8 1AF,

Account number 11232584, Sort Code 40-30-30 the sum of £ …….

starting from ……………………………… and continue payments annually until further notice.

Name of Account Holder…………………………………………………..

Account Number: ……………………………… Sort Code: ………………………………

Signature: ……………………………………… Date: ………………………………

To the Manager (Please insert name and address of your bank or building society)

……………………………………………………………………………………..

……………………………………………………………………………………..

Post Code …………………………………