Blaen Bran Community Woodland

Blaen Brân Community Woodland

Membership Form

Blaen Brân Community Woodland is a charitable company (number 5322374) and a registered Charity (number 1120995)

(Please note that membership is Non-Refundable)

RENEWAL / NEW MEMBERSHIP: (Please circle)

ADULTS £10 FAMILY £20 (Children up to 14yrs) HORSE MEMBERS £25 Child £2

Adult 1 :______Adult 2:______

For Family Membership please include children’s ages and names:

Child 1: ______Age:______Child 2:______Age:______

Child 3: ______Age:______Child 4: ______Age:______

TYPE OF PAYMENT: Standing order cheque internet transfer cash

Home phone:______Mobile: ______

Address: ______

Post Code: ______E-Mail :______( please print)

DATA PROTECTION ACT 1998

We will maintain a record of the personal details you give us on a PC. These will be treated confidentially and will not be given to a third party. For the purposes of the Act, the Data Controller is Blaen Brân Community Woodland.

I give my consent to B.B.C.W and agree to its objects: Signed ______Date ______

Membership rates are set by Annual General meeting and a minimum contribution is suggested of £10 per year for Adults and £2 for children. Adult Horse Members £25 plus £10 Membership;Junior Horse Members £25 plus £2.00 Membership. You can pay by cash or cheque made payable to Blaen Bran Community Woodland or fill in the StandingOrder below and return to the membership secretary

The Charity's (Blaen Bran Community Woodland) objects are:

(1)The provision and maintenance of the Coed Gwaun-Y-Ffeiriad area of Upper Cwmbrân, to advance education of the public in good forest management, provide recreational facilities, and to encourage good forest practice through consultation and environmental assessments without distinction of sex, sexual orientation, race, age, disability, nationality or of religious or other opinions.

(2)The provision as described in 3 (1), will exclude the use of motor vehicles in the woodland area, other than those required for management or forestry purposes and access by designated user groups, in particular disability groups and individuals with a disability.

(3)To carry out such other charitable purposes, for the benefit of those living or working in Torfaen, (“the area of benefit”), as the trustees in their absolute discretion from time to time decide.

Are you a UK taxpayer? If so, every £1 you give could be worth £1.28 to us, helping tofund vital work at no cost to you. All you need to do is tick the box below.

 Yes! I would like the tax to be reclaimed on any eligible donations or membership subscriptions that I have ever made or will make to Blaen Brân Community Woodland until further notice. I confirm that I pay an amount of UK income or capital gains tax at least equal to the tax that Blaen BrânCommunity Woodland will reclaim

STANDING ORDER

Please Pay: Lloyds Bank plc Cwmbran for the credit of Blaen Bran Community Woodland Trust

Account number: 02658600 Sort Code: 30-92-49 the sum of £……………... (Immediately) followed by £…………… annually on 1st ………………………until further notice is given in writing. Reference: ………….(BBCW only)

Please cancel any previous Standing Order in favour of this beneficiary.

Account to be debited

Name...... (please print) Signed ...... ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Bank...... Account Number ...... Sort Code......

Please return this form to: BBCWMembership Secretary. 4 Richmond Street. Pontnewydd.

Cwmbran. NP44 1EH Any Queries email: s

TEL: 07434 042627