|
BANKERS STANDING ORDER
(Please complete this form in capital letters)
To (Name, address, post code and sort code of your Bank): ............................................................................................................................................................... ............................................................................................................................................................... .............................................................. Post Code: ...............................Sort Code:..................................
Please pay to the credit of the Friends of the Green Howards Regimental Museum a/c No 30842656 at Barclays Bank (Richmond Branch) plc (sort code 20-25-29), The Dales Group, 31 High Row, Darlington, County Durham, DL3 7GS.
On the ................ day of ............................ 20...., the sum of £................... and the same sum on the same date annually until further notice, and please debit my current/deposit or other account accordingly.
Account Name: ................................................................. Account Number: ..........................................
Signature: ......................................................................... Date: ...........................................................................
PERSONAL DETAILS (To be Completed in all Circumstances)
Title (Mr/Mrs/Miss/Rank): ................................................. Decorations: .................................................... Forenames: ...................................................................... Surname: .................................................................... Address: .................................................................................................................................................................... ................................................................................................................................................................... .......................................................................... Post Code: .................................................................. Tel Number: ..................................................................... Type of Subscription: ........................................... Email (Enter as should be with upper or lower case): .........................................................................................
SUBSCRIPTIONS AND DATABASE DETAILS
The following Subscription rates apply for Friends of the Green Howards Regimental Museum:
Friend, single membership......................................................................... £16-00 Family, including husband, wife and children under 17 years.................... £25-00 Senior (male 65 years and over, female 60 years and over)...................... £10-00 Young Friend, aged 17 – 21 years............................................................. £10-00 Life Member minimum donation................................................................. £200-00 Corporate Member minimum donation...................................................... £500-00 (Corporate Membership entitles the holder to additional privileges and 4 transferable guest cards)
Database details:
We will enter the information you give us (name and address etc but not bank details) into a computerized database, and will only use it to contact you on matters relevant to The Green Howards. The information remains your property at all times and we will not disclose your details to anyone. If you are happy for your details to be stored on our database then please sign and date:
Signature: ................................................................................................ Date: .................................................................................................
GIFT AID DECLARATION (UK Tax Payers Only)
The Friends of the Green Howards Regimental Museum
Title (Mr/Mrs/Miss/Rank):: ................................................ Surname: ............................................................ Forenames: ................................................................................................................................................... Address: ....................................................................................................................................................... ..................................................................................................................................................................... .......................................................................................... Post Code:..........................................................
I want The Friends of the Green Howards Regimental Museum to treat my donation of (insert the amount of your current subscription here) £........... (My subscription to The Friends), and all the donations (subscriptions) I make, from the date of this declaration until I notify you otherwise, as Gift Aid Donations.
Signature: .......................................................................... Date: ...........................................................................
Please return to: MR A WARRINER MBE, HONORARY SECRETARY, FRIENDS OF THE GREEN HOWARDS MUSEUM, GREYSTONES, MIDDLESBROUGH ROAD, GUISBOROUGH, CLEVELAND TS14 8HY. Note: If applying for new Membership please forward stamped addressed envelope with this form.
|
||