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Membership form

ILKLEY CIVIC SOCIETY (Charity No. 1092549)

Subscriptions

I/ we would like to join / rejoin Ilkley Civic Society

I/ we enclose a cheque for £15 (or £25 for joint membership) as a donation to the society

Name       ……………………………………………………………

Address   ………………………………………………………….

…………………………………………………………..

…………………………………………………………

…………………………………………………………

e-mail address      ……………………………………………………..

Or:    I would like to become a Life Member of Ilkley Civic Society at £250

Please send cheques, payable to Ilkley Civic Society, to The Hon. Treasurer

D Shillitoe, 19 Alexandra Crescent, Ilkley LS29 9ER

Gift Aid Declaration

I would like Ilkley Civic Society to reclaim tax on this and any other future membership subscriptions and donations until I notify you otherwise*

Signature        ………………………………………….                   Date    …………..

*You must pay as much income tax or capital gains tax as we reclaim. If you do not pay tax, you cannot complete the Gift Aid declaration.