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membership formsMembership Form

Text Box: Membership Form              Standing order
The Society of the Friends of Milton's Cottage Charity number 274269
Title..........Forenames....................................................             To the Manager (name of bank) ....................................................................
Surname.......................................................................               (bank address) .................................................................................                 
Address ...........................................................................              ...................................................................................................................
......................................................................................              ......................................................................................................................
Post Code................................                                                     Sort code            -           -
email.............................................................................               Please debit my account number..................................................................
Phone...............................................................................            the sum of     £.......................   now and then please choose:
Friend  single  £24          joint  £36            Benefactor  £100           monthly         -or-         annually      hereafter and pay the Society of the Friends of Milton's
                GIFT AID DECLARATION                                               Cottage, Nat West Bank PLC, Chalfont St Peter   sort code 60-05-50-                                                                                                     account number 03606708                         
I wish the Society of the Friends of Milton's Cottage to treat this       
donation and any further donation I may make as gift aid donations.   
I confirm that I pay income tax or capital gains tax at least equal        Signature ......................................................................................
to the tax deducted from this and any future donations.                      Date ................../........................../.......................................
Signature.......................................................................                                               Return to:
Date............../.............................../..............................                 The Treasurer, Friends of Milton's Cottage, Milton's Cottage, Deanway,
                                                                                                      Chalfont St Giles, Buckinghamshire, HP8 4JH
 
 
                                               
 

 
 
 
 
 

 

 

 

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