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Join The Society That Serves Croydon
Simply print this page using you browsers print command (file, print) and send it to our Treasurer
if you are completing the standing order form or if you are sending a cheque to our Membership Secretary
| I/we wish to apply for membership of the Croydon Society and enclose the subscription as below:- | ||
| Full member £6 | (please tick appropriate against appropriate amount) | |
| Family members £7.50 | ||
| Under 18 £1.50 | ||
| Group affiliation £7.50 | ||
| ** NEW ** I would like my membership payments and any future donations to be considered under the 'Gift Aid' rules so that the Society can reclaim from the Inland Revenue 28p for every £1 of my subscription. I confirm that I am a taxpayer and that I pay more income tax or capital gains tax equal to or more than the tax the society reclaims |
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| YES I Qualify: please do | NO: please do not | delete which |
| Your Name | ||
| Your Address | ||
| Post Code | ||
| Telephone | ||
| e - mail | ||
| Your interests & talents | ||
| Your Signature | ||
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Please return this form with a cheque made payable to 'The Croydon Society' for the appropriate subscription rate to: Tony Skrzypczyk, Membership Secretary, 39 Addiscombe Road, Croydon, CR0 6SA If you pay by Standing order please send the entire form to the Honoury Treasurer at 79 Shirley Way, Shirley, Croydon CR0 8PL |
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| Standing Order Form | ||
| Your Name | ||
| Your Address | ||
| Post Code | ||
| To Your Bank (name) | ||
| Bank Address | ||
| Account Name | ||
| Sort Code | ||
| Account Number | ||
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Please pay the sum of £ ............................ Now and on 1 January 20........... and every twelve months thereafter until further notice and
debit my/our account accordingly. |
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| Signed | ||
| Dated | ||
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THIS FORM MUST BE SENT TO THE CROYDON SOCIETY AND NOT TO YOUR BANK. Please make sure you fill the top half and the bottom hald of this form and authorise the 'Gift Aid' donation & send it to the Honoury Treasurer, 79 Shirley Way, Shirley, Croydon CR0 8PL |
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| You will find a warm welcome! | ||