NOTTINGHAMSHIRE FAMILY HISTORY SOCIETY

Registered Charity No. 515898

APPLICATION FOR MEMBERSHIP/RENEWAL

this form

Mr/Mrs/Miss/etc. Surname
Forename(s)
Address

Postcode/Zip Country
Telephone Number
E-mail address Please print carefully
Home Page details
SUBSCRIPTIONS: Please tick one:
European Individual £12.00 per year
European Joint (husband and wife) £15.00 per year
Overseas Airmail £15.00 per year
eMembership (Journal sent via email) £15.00 per 2 year period
SURNAME INTERESTS:
Surname














 Area














 Dates
EITHER
I enclose a cheque for this amount in Sterling (UK Currency) drawn
on a UK bank and payable to NOTTINGHAMSHIRE F.H.S.
OR
Please debit my credit card
( Visa / Access / Mastercard )only
Card no: Expiry Date:

Total payment: £ Signed:

Membership details are kept on computer for the purpose of producing
journal address labels and for use in Member's Interests searches.
Any objection to this should be made in writing to the Membership Secretary.

Membership is for a calendar year,
Beginning on April 1st or Oct 1st.

Please post this form to the Membership Secretary

David Greenall
10 Sherwin Walk
Nottingham
NG3 1AH

GIFT AID DECLARATION

To the Nottinghamshire Family History Society
Registered Charity No 515898

This will allow the society to claim tax paid on your annual subsciption from the Inland Revenue.

Membership Number ………………………………………

Will donate to the Nottinghamshire Family History Society a sum equal to the annual rate of subscription currently in force, either individual or joint. The donation will be in lieu of a subscription payment and will entitle me to all of the benefits of a member of the Society.

I may make further donations to the Society, either specific or general, as I see fit.

I want all my donations as specified above, to be treated as Gift Aid Donations thereby entitling the Nottinghamshire Family History Society to reclaim tax on my donations.

These arrangements are to remain in force until terminated in writing by myself.

Name ( In capitals )………………………………………

Address………………………………………

………………………………………

………………………………………

………………………………………

………………………………………

………………………………………

Post Code…………………

Signed………………………………………

Date………………………………………

DO NOT COMPLETE THIS DECLARATION IF YOU DO NOT PAY AN AMOUNT OF INCOME TAX OR CAPITAL GAINS TAX EQUAL TO THE SUM WE RECLAIM ON YOUR DONATION. PLEASE NOTIFY THE TREASURER IF YOU FALL BELOW THIS LIMIT OR CEASE TO BECOME A TAXPAYER.

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Registered as a Charity in England and Wales no 515898