MID SUFFOLK LIGHT RAILWAY COMPANY

MEMBERSHIP APPLICATION FORM

Membership Rates are as follows:

Adult Membership £12.00; Double Adult Membership £16.00; Family Membership £20.00; Junior

(under 18) Membership £5.00; Full Life Membership £200.00; Senior Citizen Life Membership £100.00.

Please enroll me as a …………………… Member of the Mid Suffolk Light Railway Company Limited.

I enclose a subscription of £ ………… and a donation of £ ………..

Full Name(s) ………………………………………………………………………………….. ...…….

Address …………………………………………………………………………..…………..…..…….

………………………………………………………………… Post Code …………………..…….

Date of Birth (if under 18)…….…….…… Phone number ……………………………….………

Email address ………………………………………………………………………………….………

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

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

(Both adult members of a family membership should sign)

By becoming a member you will receive a copy of the Company’s magazine, “Making Tracks”. You are also entitled to free entrance to the site on non-steam open days, and to a discounted Season Ticket to attend Steam Day Events. Season Ticket rates are: Adult £2; Double Adult £6; Family £7.50. This is a one-off payment valid for 12 months from the date of issue. It can be purchased when you join, or at any later time.

I enclose a cheque (payable to ‘The Mid Suffolk Light Railway Company Ltd’) for £………………

Please send to: The mid Suffolk Light Railway Company Ltd, Brockford Station, Wetheringsett, Stowmarket, Suffolk, IP14 5PW.

If you are interested in becoming actively involved in the operations of the Company, please indicate the areas in which you feel you would like to help (underline as applicable):

Locomotive operation / Rolling stock restoration / Building and site work / Open day operation / Administration / Fund raising.

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Your membership card and the current copy of Making Tracks will be sent to you shortly.

Please complete the Gift Aid Declaration overleaf to enable the Trust to reclaim taxation on your donations. You can pay future subscriptions by completing the Standing Order authorisation below.

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BANKERS STANDING ORDER FORM MID-SUFFOLK LIGHT RAILWAY COMPANY

Please pay CAF Bank Ltd, 25 Kings Hill Avenue, Kings Hill, West Malling, Kent. ME19 4JQ (Sort Code 40-52-40) to credit Mid-Suffolk Light Railway Co (Account 00018314) the sum of £______* on ______day of ______20___ ** and monthly/quarterly/annually*** thereafter until further notice:-

Please debit my/our*** account no.______**** Bank sort code______****

This cancels all previous standing orders in favour of Mid Suffolk Light Railway

Bank Address****______

______

______Signed:______

* Enter the amount you want to pay ** Enter the date for the first payment *** Delete as appropriate

**** Enter your own bank details

MID-SUFFOLK LIGHT RAILWAY Registered Charity No. 1063635

GIFT AID DECLARATION

Donor’s title……….. Forenames……………………………………… Surname……………….………..

Address……………………………………………………………………………………………….………..

Post Code…………… Telephone no………….……..…………….. Membership no………….……

Email………………………………………………….………………………………………………………..

I want Mid-Suffolk Light Railway to treat

The enclosed donation of £…………..

The donation(s) of £……………I made on ....…./…….../…………...

All donations I make from the date of this declaration until I notify you otherwise.

All donations I have made in the past four years

  • Delete as appropriate

As Gift Aid donations.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

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

Please notify us if you want to cancel this declaration or change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Please return the completed declaration to The Treasurer, MSLR, Brockford Station, Wetheringsett, Stowmarket, Suffolk, IP14 5PW