GreenSpirit Membership Form to Print Out

To join GreenSpirit, print out and fill in this form and send it together with a cheque (drawn from a UK bank account) payable to "GreenSpirit" to GreenSpirit, 137 Ham Park Road, Forest Gate, London. E7 9LE.

 
 
£

I would like to join GreenSpirit (£24 per annum) - this includes the GreenSpirit Journal

 
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I would like to join GreenSpirit (at £12 per annum) as I could not otherwise afford to join and I live in the UK - this includes the GreenSpirit Journal

 
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I enclose a donation of
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Total enclosed
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.
 
Please tick
I would like to be included in the Membership Directory
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 Please use Block Capitals
Name: ___________________________________
Address: ___________________________________
  ___________________________________
  ___________________________________
Post Code: ___________________________________
Telephone Number: ___________________________________
Email Address: * ___________________________________
* newsletter information is sent by email these days so please supply an email address if you are able to. We will not pass on your email address to a third party. If you do not have an email address, we will send you important information by post.
 
Where did you hear about GreenSpirit? ________________________________________
 
Gift Aid:
GreenSpirit benefits greatly from the Gift Aid scheme. If you are in the UK and pay tax, please complete the declaration below. The only condition is that you should be paying tax at least equal to your subscription.
 
Gift Aid Declaration:
I agree to my subscriptions and/or donations being treated by you as Gift Aid. I undertake to inform you if I cease to pay Income Tax.
 
Signed: ______________________________ Date: _____________
 

To pay by standing order, click here for a form to print off

Please send this form to: GreenSpirit, 137 Ham Park Road, Forest Gate, London. E7 9LE.