Membership form

ILKLEY CIVIC SOCIETY (Charity No. 1092549)

I/ we would like to join / re-join Ilkley Civic Society for the year 2023-24.

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

Name …………………………………………………………….

Address ………………………………………………………….

………………………………………………………….

E-mail address……………………………………………………..

I would like to become a Life Member of Ilkley Civic Society at £250.00

Please send cheques, payable to Ilkley Civic Society, to The Chair -

Mrs Helen Kidman, 3 Margerison Crescent, Ben Rhydding, Ilkley LS29 8QZ.

You may pay by standing order or direct bank transfer

Sort Code 05 05 30

A/cNo 35042360

Ref: Please add your surname

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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 declaration; if you do you are responsible to pay the difference.

Keeping in touch with our members is important. Rules on data 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 [ ]