(Please print out this form, complete and return by post to the above address, together with a cheque to cover your donation. Cheques should be made payable to "Friends of the QLR Museum".

PLEASE NOTE: Direct Debit helps us by reducing administration costs. If you would prefer to pay by this means please e-mail qlrmuseum@btconnect.com  for a mandate form)

FRIENDS OF THE MUSEUM - MEMBERSHIP APPLICATION

To: The Membership Secretary,

Please enrol me as a member of the Friends of The Museum of The Queen's Lancashire Regiment.

I enclose my cheque covering my donation in the following category:

(Please delete as necessary)

Individual (single) .................................... .......................  £ 10.00

Family (member, spouse & children under 18 years) ......  £ 15.oo

Senior Citizen ......................................................... ....... ..   £   5.00

Life Member ( SINGLE DONATION) ................. ...............  £100.

 

 

 

 

 

Signed  ................... ... ........ ................. ... ...... Dated  ........... .............

 

GIFT AID DECLARATION

I wish the Friends of The Queen's Lancashire Regiment Museum (Registered Charity Number 112003) to reclaim tax on all donations I have made to them since 10 March 2007, and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid Donations.

I confirm that I have paid/will pay Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims in the appropriate tax year.

 

 

Signature ......................................  ............... Date .................... ................                  

FULL DETAILS (PLEASE PRINT)

Name: ............................................................................................. ............. ................................................................ ..............

Address: ....................................................................................... ................ ..............................................................  ...............

.............................................................................................. .................. ............ ............................. Post Code .......................... 

Tel No: ................... .... ...... ...........................................  e-mail: ......... ............................................................... .... ..................