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

B Mann, 14 The Spa, The Grove, Ilkley LS29 9NQ

Or: You may pay by standing order or direct bank transfer  (please email this form to  This email address is being protected from spambots. You need JavaScript enabled to view it.)

Ilkley Civic Society        Sort Code 05 05 30      A/cNo 35042360     Ref: [Please add your surname]

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.

Data Management

Keeping in touch with our members is important. Data rules mean we need to contact everyone on our database and check you don’t mind receiving emails from us. Can you please confirm you are happy to receive emails from us.

I am happy to receive emails                         [   ]

I do not wish to receive emails                       [   ]