Please confirm your payment choice *

1 - Payment for one year has been transferred

2 - I have set up an annual standing order*

*Date standing order commences (if applicable)

MM

DD

YYYY

Type of Membership *

Life (single, over-60 only) £100

Annual - single £15 per year

Annual - joint (a couple/partners) £20

Annual - single student or over-60 £7.50 per year

Annual - joint (both over-60) £10 per year

Residency *

For Overseas Members, we request a donation of about 30% above the minimum, to cover the increased cost of mailing. Please make payment in Sterling if possible.

I live overseas

I live in the UK

Details of first (or only) Member *

First Name

Last Name

Details of second Member if applicable (spouse or partner)

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

GIFT AID DECLARATION

Only complete the remainder of the form if you wish your membership to be treated as a Gift Aid donation. (In the case of Joint Membership, this Declaration should be completed by only ONE donor.)

First Name

Last Name

Confirmation of UK Tax status

I am a UK taxpayer , and wish that all donations I make to The Romney Marsh Historic Churches Trust (Registered Charity No 284909) on or after this date be treated as Gift Aid donations. I confirm that the Income/Capital Gains Tax I pay in each tax year will be at least equal to the tax reclaimed on all my donations to any charity in that tax year. I understand that if I pay less Income/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 will inform you if I change my address or if I no longer pay sufficient Income/Capital Gains Tax.

Tick to confirm

Date

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country