FRIENDS OF KESGRAVE CHURCH – APPLICATION FOR MEMBERSHIP

Please send the whole of this form, when completed, to: - Dr Stewart Young,, FRIENDS OF KESGRAVE CHURCH,

61 Ferguson Way, Kesgrave, IPSWICH, Suffolk IP5 2FZ

I/we wish to join the Friends of Kesgrave Church at the annual subscription of at least £ 10.00.

I/we enclose a completed STANDING ORDER FORM and /or cash/ cheque/Postal order for £...... payable to Kesgrave PCC (please delete as appropriate).

NAME…………………………………………………………………………………………………………………………….

ADDRESS………………………………………………………………………………………………………………………...…

…………………………………………………………………………………….…….….POST CODE……………………..

TELEPHONE NUMBER………………………………E-MAIL ADDRESS……….……….……….…………………………..

The information you have given will be stored on a computer, but used only for the purposes of your membership of the Friends of Kesgrave Church. If this is not acceptable to you, please inform

Dr Stewart Young, FRIENDS OF KESGRAVE CHURCH, 61 Ferguson Way, Kesgrave, IPSWICH, Suffolk IP5 2FZ

------.

For office use only: date received…………………………………………..Membership card /letter sent………………………..

If you are a UK taxpayer the Fund is able to enhance your contribution by 25 pence in each pound if you are willing to complete the form below and return it with your membership application.

GIFT AID DECLARATION – KESGRAVE PCC FOR FRIENDS OF KESGRAVE CHURCH

I would like the charity to reclaim tax on all donations I have made to it since 6th April 2000 and all donations that I may make in the future.

I confirm that I am a UK taxpayer and I also confirm that I have paid, or will pay, at least as much Tax or Capital Gains tax equal to the tax you are reclaiming on my donations.

Title . . . . . Forename(s) ...... Surname......

Address......

......

...... Post code ......

Signed ………………………………………………………………………Date….……………

Please return this completed form to Dr Stewart Young, FRIENDS OF KESGRAVE CHURCH, 61 Ferguson Way, Kesgrave, IPSWICH, Suffolk IP5 2FZ

If you wish to subscribe by Standing Order, please complete the form below and send it, when completed, to: -

Dr Stewart Young, FRIENDS OF KESGRAVE CHURCH,

61 Ferguson Way, Kesgrave, IPSWICH, Suffolk IP5 2FZ

FRIENDS OF KESGRAVE CHURCH

STANDING ORDER MANDATE

To (block capitals please) The MANAGER., ………..……………………………………….…BANK

ADDRESS ………………………………………………………….………………………………..…………………………..…..

…………………………………………………………………………………………POST CODE……………………….……

Please pay to the credit of the account of KESGRAVE PAROCHIAL CHURCH COUNCIL

at the Co-operative Bank, sort code 08-92-99 account number 65453375 , the sum of *…………………………………………….

. ( £…………. . . .) immediately and on the first day of January each year until further notice from me/us in writing and debit my/our account accordingly. (*Please complete in words and figures)

THIS CANCELS ANY PREVIOUS STANDING ORDER TO THE SAME ACCOUNT , BUT ONLY UNDER THE SAME REFERENCE

NAME OF ACCOUNT TO BE DEBITED …………………………………………………………………………………

ACCOUNT NUMBER ……………………………………………………….SORT CODE …….……………………….

ADDRESS………………………………………………………………………………………………..

…………………………………………………………………………………………………………..

…………………………………………………………………………POST CODE………………

.

SIGNED ……………………………………………………………………………………..… DATE..………………..

Please leave for office to complete

REFERENCE FOR BANK USE…. “FRIEND ...... ”