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Lewisham Local History Society Membership Application / Renewal Form (2017)

Please print out this form and post it to:
Sylvia Eley, 5 Parkham Court, 11 Shortlands Road, BR2 0JF

Title       
Name   
Address   
   
    Phone   
Postcode    Email   

I enclose a cheque / postal order made payable to the Lewisham Local History Society in the minimum amount of £10 Standard, £15 Family or £15 Institution, plus an extra donation of £ ________________

Gift Aid Declaration

If you are a UK taxpayer, please consider signing this Gift Aid Declaration. Gift Aid allows registered charities to reclaim tax on subscriptions and other donations. It increases the value of your contributions at no additional cost to you.

I would like the Lewisham Local History Society to reclaim tax on all donations I have made since 6 April 2000 and on all further donations I may make until I notify you otherwise.

Signed    Date   

Please notify the Membership Secretary if you change your address, or if you cease to pay income tax or capital gains tax equal to or greater than the amount the Society can reclaim in respect of your donations in a tax year. Currently the Society can reclaim 28p on every pound you donate, for example £2.80 on a £10 donation. In this example the amount of tax you pay in a tax year should not be less than £2.80 in order for the Society to reclaim this amount back.