WLOS (Registered Charity)

Membership Form / Gift Aid Declaration - 2017/18

Please type in your details in the boxes below, print off the form, and send to the address below with your subscription...

Name
Address




Post code
Email
Amount enclosed
Date

I am a UK (Income/Capital Gains) tax payer, please treat all gifts and donations I make as Gift Aid *.

Please tick the box if this applies

Signature ........................................................

* This increases the value of your subscription by 25p in the pound without any additional cost to you.
You must pay an amount of tax at least equal to the to that the charity reclaims on your donations in the appropriate tax year.

Please return with your subscription to

Jim Hewitson
Cliff Villas
Parton
Whitehaven
Cumbria
CA28 6NU