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, Calendar and introductory book "What is Green Spirituality?"

 
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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, Calendar and introductory book "What is Green Spirituality?"

 
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I enclose a donation of
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Total enclosed
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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:

Please tick the box below and sign and date this form to confirm that you wish to gift aid your donation to GreenSpirit:
I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to GreenSpirit. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

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

To pay by standing order, please contact us for a form.

Please send this form with your cheque payable to "GreenSpirit" to: GreenSpirit, 137 Ham Park Road, Forest Gate, London. E7 9LE.