Membership

FRIENDS OF THE MERCHANT’S HOUSE

The House of Thomas Bayly 1653

Registered Charity No. 1010902 MEMBERSHIP APPLICATION / RENEWAL FORM Name ………………………………………………………………………………………….. Address ………………………………………………………………………………………….. .…………………………………………………………………………………..………………… Post Code …………………………… Telephone Number ..………………………………….. Email address.......................................................................... .........................................................(if you would like to receive updates and information via email, although larger mailings such as The Journal will still be sent by post)

Minimum Subscriptions

Please tick: Single £12 …….. Couple £18 ……… Pensioner £10* ….…… Signature …………………………………………….. Date …..………………………….. * We hope that pensioners will be able to pay the standard rate but offer this concession. Please make cheques payable to The Merchant’s House (Marlborough) Trust. If you are a UK taxpayer please consider signing the Gift Aid form overleaf to enable the charity to reclaim tax on your subscription. To reduce administration costs, please also consider completing the standing order form below, which will enable your membership to be paid automatically by your bank each year. Please note that membership runs from the 1^st January annually. Members joining during the year are requested to note that membership renewal will be due the following January. Any member joining after September will automatically be entitled to membership for the following year to December. Membership cards will be issued before March each year to enable members to visit the Merchant’s House on opening days. New members joining during the year will have their cards issued as soon as possible. Please notify the Membership Secretary if there are any changes to your name or address.

DATA PROTECTION ACT

Please note that the names and addresses of Friends of the Merchant’s House are entered into our computer and used to print out labels for despatch of newsletters and other pertinent information. It is also used to provide management information about payment of subscriptions, Friends’ special interest etc. This helps us to service the Membership more efficiently. The data WILL NOT be passed to any third party.

Membership Secretary, The Merchant’s House, 132 High Street, Marlborough, Wiltshire SN8 1HN

Telephone/Fax number 01672 511491 E-mail: sophiec@merchantshousetrust.co.uk

___________________________________________________________________________________________________

GIFT AID DECLARATION

Name of Charity:         The Merchant's House (Marlborough) Trust
                                   132 High Street, Marlborough, Wiltshire, SN8 1HN
                                                Registered Charity No. 1010902

Details of Donor:

Title ................ Forename(s) ...................................

Surname .................................

Address ......................................................................................................................

....................................................................................................................................

...............................................................................

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

Date of Birth .................................................

I want the charity to treat.

the enclosed donation of £ ................................
the donation (s) of £ ............................... which I made on ........../........../...........
all donations I have made since 6 April 2002, and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations.

*Delete as appropriate

Date ....................................................

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

NOTES

You can cancel this declaration at any time by notifying the charity.
You must pay an amount of income tax / capital gains tax at least equal to the tax that the charity reclaims in the tax year of your gift.
If in future your circumstances change and you no longer pay tax on your income and capital gains tax equal to the tax that the charity reclaims, you should cancel your declaration (see note 1).

If you pay tax a t a higher rate you can claim further tax relief in your Self Assessment tax return. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the charity. Or ask your local tax office for leaflet IR65.

BANKERS ORDER

To ................................................... Bank plc .............................................Branch

Bank Address............................................................................................................

Please pay the sum of £............... immediately (delete if not applicable) and then each year for ................ years on 2 January ......................
to Barclays Bank plc, 6 High Street, Marlborough, Wiltshire,
Sort Code 20-84-58 for credit to the account of:
The Merchant's House (Marlborough) Trust Membership
Account No. 00968897

Name..................................................
Account No...............................................

Signed ........................................ Date ...........................
Sort Code ........................

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Last Modified 2008-08-07