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 Magazine

 

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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 Magazine

 

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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 if you are able.
 
Gift Aid Declaration:
I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) in the UK that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.
:
(please tick all boxes you wish to apply)
  Today
  In the past 4 years
  In the future

Please notify GreenSpirit if you:
* want to cancel this declaration
* change your name or home address
* no longer pay sufficient tax on your income and/or capital gains.

 
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.