Clone of GIFT FORM

PARISH REGISTRATION FORM
Details of Main Householder
Title
Name
Date of Birth

DayMonthYear
Address Details for Main Householder
Contact Details for Main Householder
Mobile Phone No.
Landline (If applicable)
Email Address
Do You Live Alone?

If you answer Yes to the question below Please skip the next section entitled 'Other people Living at This Address' and go straight to the section of the form marked Optional Donations
Please Answer this Question*

NoYes
Other People Living at This Address
Person No.1
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Person No.2
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Person No.3
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Person No.4
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Person No.5
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Person No.6
Relationship to Main Householder
Name
Date of Birth

DayMonthYear
Optional Donations
Tick As Appropriate

I would like to receive weekly Collection EnvelopesI am a UK taxpayer and would like my donation to the Parish to be treated as Gift Aid
Signature of Main Householder (Please Sign the Form)*
Date Registration Form Completed

MonthDayYear
Date
DATA PROTECTION

In accordance with the Data Protection Act 2018
Should be Empty:

PARISH REGISTRATION FORM