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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
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  
     

 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

 
 
 Standing Order Form  
 
 Your Name  
 Your Address  
   
 Post Code    
 
 To Your Bank (name)  
 Bank Address  
   
Account Name  
Sort Code  
Account Number  
     

 Please pay
National Westminster Bank Plc Croydon High Street Branch (56-00-46), for the credit of THE CROYDON SOCIETY (account number 01745867)

the sum of £ ............................ Now and on 1 January 20...........

and every twelve months thereafter until further notice and debit my/our account accordingly.
Please quote my/our name on the payee's statement.

     
 Signed  
Dated    
     
     

 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

     
 You will find a warm welcome!    
     

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