Membership Form

THE FRIENDS OF ST MARY'S CHURCH

MEMBERSHIP APPLICATION FORM

Please tick where appropriate:

I would like to renew my membership

I would like to become a member of the Friends of St Mary's Church, Cricklade, and I enclose my annual membership fee of £5 (minimum)

Name:

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Address:

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Telephone No:

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I would like to be an active member and could offer my skills as follows:

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I am prepared to help with Church Open Days, Fetes, Coffee mornings, and other activities (this involves a 1 hour supervision of the Church on a Saturday morning). Tick if yes.

Please make cheques payable to: The Friends of St Mary's Church, and send to:

Mrs Gerry Dudley

Secretary, Friends of St Mary's

4, Pleydells

Cricklade

SWINDON

SN6 6NG

N.B. If you are a taxpayer, please consider signing this declaration so that we can obtain tax benefits on your donation.

GIFT AID

I declare that it is my wish that the CLIFTON CATHOLIC DIOCESAN TRUSTEES (regd. Charity no. 233977) treat all donations I have made since 6 April 2000, and all donations I make hereafter, as GIFT AID donations and reclaim tax accordingly. I confirm that I will pay an amount of income tax or capital gains tax equal to the tax deducted from my donations.

Signed:

Dated: