FoLC Membership Form

Friends of Limpsfield Common Membership Application

To apply for membership please complete all fields marked *
Name*

PrefixFirst NameLast Name
Address*

House number/name

Street Address

TownCounty

Post Code
E-mail*
Phone *

Area CodePhone Number
Date*

DayMonthYear
Date
Membership Fee*
prevnext( X )
Adult per annum
£10.00

Household per annum
£20.00

Payment Method
You can pay via your online banking to our account, National Trust Limpsfield Common Local Committee, Account number - 62612247, Sort code - 60-16-09 or by completing a standing order form or by sending a cheque made payable to : National Trust Limpsfield Common Local Committee, to The Administrator, FOLC, c/o Limpsfield Memorial Stores, Limpsfield, Surrey, RH8 0DT. If paying via standing order form we will send you the form as it requires your signature. Please select the method you have chosen below.
I will pay my annual subscription via*

Charity Gift Aid Declaration – multiple donation.

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

HMRC do not require a signature on a Gift Aid declaration.
In order to Gift Aid your donation you must select the box below.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.

I want to Gift Aid my donation, shown above, and any donations I make in the future or have made in the past 4 years to: Friends of Limpsfield Common (National Trust) Please notify us 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. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
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Friends of Limpsfield Common Membership Application