Name(s): ___________________________________________________________
Address: ____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Postcode: ___________________________________________________________
Telephone: __________________________________________________________
E-mail: _____________________________________________________________
Category of membership required: Single _____ Joint _____
Signature: ___________________________________________________________
Gift Aid Declaration (if applicable)
To enable the Society to claim back tax paid, in the event of
this being agreed.
I am a UK tax payer
and I want the S.W. Herts Archaeological and Historical Society
to treat as Gift Aid donations all amounts paid by me until further notice.
Signed: _____________________________________________________________
Full name: ___________________________________________________________
Date: _______________________________________________________________
Please tick if you would like to set up a standing order for future years: _____
Please print and fill in the form, and send it with a cheque for the appropriate
amount
and a stamped, addressed envelope to the Chairman:
SWHAHS, 83 Kingsfield Road, Watford WD19 4TP.