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Membership Application

Name (Mr/Mrs/Ms):

Address:

Postcode:

Telephone:

Email:

For administrative purposes the society would prefer payment by Standing Order.

Please pay the amount due by 1st January every year until further notice, for the credit of

“Trees for Dorset”, A/c No: 83413527, Sort Code: 20-68-79.

If you prefer to pay by cheque, please make this out to

“Trees for Dorset” and send it to Membership Secretary, Trees for Dorset, ℅ West Holme Farm, Wareham, Dorset, BH20 6AQ.

CHARITY GIFT AID DECLARATION

HMRC Charity Ref: XT21679

Gift Aid is reclaimed by the Charity from the tax you pay for the current tax year. Boost your donation by 25p for every £1 you donate.

I want to Gift Aid my donation of £

and any donations I make in the future or have made in the last 4 years to Trees for Dorset.

I am a UK taxpayer and pay an amount of Income Tax and/or Capital Gains Tax at least equal to the amount of Gift Aid claimed on these donations.

Title:

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Last Name:

House Name/ No:

Post Code:

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Please return completed form to: Membership Secretary (address above) or email scanned document to: info@treesfordorset.co.uk