To: The Treasurer
Friends of St Nicholas, c/o The Rectory,
2 Manor Farm Close Barton-le-Clay, Bedford MK45 4TB

Minimum annual subscription:

Individual members£5
Under 16 years£3
Family Membership£10
Life membership (over 50s)£150
Joint life membership (both over 50)£200
Corporate (Business) Membership£100

Please enrol me/us* as a Friend(s). I/We enclose a Cheque/Cash/Banker's Order (completed) for £__________ as my/our* annual/life* membership..

Signature____________________ Date ___/______/____

PLEASE USE BLOCK CAPITALS

Mr / Mrs / Miss / or title: ……………………..

Surname: ……………………………………...

First names: …………………………………..

Address: ……………………………………

Postcode: ………… Phone no: ………………

Email: …………………………………….

GIFT AID DECLARATION

We need as many of our members as possible to fill in this Gift Aid Declaration. This will enable us to reclaim tax on whatever type of gift that you make.

If you would like to make a regular donation to The Friends, then please tick Box (A) and fill in the Banker’s Order Mandate and the Gift Aid Declaration.

If you do not want to commit to a regular subscription to The Friends, but would like to give now and may give occasionally in the future, please tick Box (B) .

The Friends will then be able to reclaim the tax paid on any current or future gifts, whenever you give them.

I, of………….

……………..

……………………...Post code:………………
(Please insert your full name and postal address including your post code)

Declare that:

( Please tick one box below)
A all donations made through my Banker’s Order Mandate
or
B my enclosed donation of £..........., and any future donations

Is a/are Gift Aid Donation(s) upon which The Friends can reclaim tax.

Signature: ………………………..Date:…/…/…

If you have ticked (A) please now complete the Banker’s Order Mandate.

If you have ticked (B) please make cheques payable to “The Friends of St Nicholas “.

Note: You must have paid an amount of income tax or capital gains tax equal to the amount of tax claimable by The Friends.

BANKER'S ORDER MANDATE

To the manager:

……………………………………………………..
(name of bank or building society)

Address of branch

………………………………………………..

Please pay to The Friends of St Nicholas at Lloyds TSB, 22a Bedford Road, Barton-le-Clay, Bedford, MK45 4PP,

Sort code 30-10-49,
account number 0662770

£
(amount in words )

Annually, starting now on the…………... day of…………... 200.. and thereafter on 6th April each year for ………...payments.

Signed ……………………...

Full Name ………………………………….

Date…./…/…..

Bank Account Number………………………..