THE FINCHLEY SOCIETY MEMBERSHIP APPLICATION FORM

Please print, complete and return this form to: Tony Roberts (WS), Membership Secretary, 32A Sedgemere Ave, East Finchley, London N2 0SX.
Name(s) (BLOCK CAPITALS PLEASE)......................................................................................................
Address (incl. post code) .........................................................................................................................
..........................................................................................................Tel:..............................................
Email: ................................................................................... Date of birth (if under 18)............................
SUBSCRIPTION RATES (please tick where applicable):
Individual £9 [ ]   Joint (Please provide both names) £16 [ ]   Under 18 or on income support £5 [ ]
Associate/Other societies £18 [ ]  Corporate £25 [ ]
I/We enclose subscription payment of £ .......... (a donation may be added, if you wish)
Please make cheques payable to The Finchley Society. If you prefer to pay by standing order, please complete the order form below.   Registered Charity No 266403

NB Information on this form, excluding bank details, will be stored on computer for administration purposes

GIFT AID

If you are a taxpayer, please sign this declaration so The Society can recover tax on your subscription and any donation. You need send it once only; we can then continue to recover tax until you ask us to stop or you notify us that you no longer pay tax.

I wish The Society to treat all my subscriptions and donations from now on until notified otherwise, as Gift Aid donations. I declare that I pay an amount of UK income tax/capital gains tax at least equal to the amount (currently about 24p of each £1 given) which The Finchley Society can reclaim in the year, and that I will advise The Society if the situation changes.

Signature:                                                                         Date:

STANDING ORDER

To: The Manager ......................................................................................................................Bank
Address (incl. post code) ...................................................................................................................
.........................................................................................................................................................
Please pay to Lloyds TSB, Church End Finchley, North Middlesex Centre (sort code 30-99-86) for the account of The Finchley Society (account number 1674838), the sum of £ .......... now and on the same date each year until further notice. Please quote our reference .................... (please leave blank)
Name [ ]BLOCK CAPITALS PLEASE) ...................................................................................................
Address [ ]inc. post code) .........................................................................................................................
................................... Account number................................................. Sort Code...................................
Signature.............................................................................................. Date ...........................................

THE SOCIETY NEEDS YOUR HELP

The Society is run entirely by volunteers. If you can find the time to help us, please complete:
List any interests, skills or qualifications which you believe could help the work of the Society:
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What are your main interests? conservation [ ]   education [ ]   environment [ ]   local history[ ]
Can you spare time to help occasionally with (please tick where applicable):
Committee work: Administration [ ]     Environment and Transport [ ]     Planning [ ]
Other:   publicity [ ]     research and writing [ ]     web site [ ]   helping at outside events [ ]
delivering Newsletters [ ]     arrangements at monthly meetings [ ]     local history projects [ ]