Registered Charity Number 513437

Please print IN BLOCK CAPITALS and return with payment, to:

David Burgess,  10 St Andrews Drive, Alwoodley, LEEDS, LS17 7TR

Using gift aid means that for every pound you give, we currently get an extra 28 pence from the Inland Revenue, helping your subscription go further. So if you want your subscription to go further, Gift Aid it. Just complete this form and send it back to us.

Please treat all donations/subscriptions I have made since 6 April 2000
and all donations/subscriptions I make from the date of this declaration
until I notify you otherwise as Gift Aid donations.

I am a UK taxpayer and I pay an amount of Income Tax and/or Capital Gains Tax
at least equal to the tax reclaimed on these donations.

You can cancel this declaration at any time by notifying the Society.
If in the future your circumstances change and you no longer pay tax on your income
and capital gains equal to the tax the society reclaims, you must cancel your declaration.

Please notify the Society if you change your name and address while the declaration is still in force.
 

  Membership number (if allocated):

  Surname:

  Forename(s):

  Address:

  Postcode: 

 Signed:

  Date:

 
Please Note: The membership data are held on computer. The data will only be used for the circulation of Society literature and for membership
checking purposes. No data from the computerised records will be disclosed to any person or organisation outside the LFHHS
 

 Lancashire Family History and Heraldry Society (Membership)
Registered Charity Number 513437
Founded in 1973 as the Rossendale Society for Genealogy and Heraldry (Lancashire)
Copyright © 2002 Fred Moor and LFHHS
creative web design by fredmoor.com