Name (Ms/Mrs/Miss/Mr)
Address
Postcode
Telephone No.
e-mail Address:
Date of Birth:
I am a vegetarian Yes[ ] No[ ]
Non-vegetarians will be enrolled as associate members
HOW TO PAY -
(direct debits can only be accepted by post)
Please charge my Mastercard/Visa/Amex/Switch
Card No.
Issue No. (Switch only)
| Expiry date |
Valid from
date |
Name on Card
Signature
Please tick if you do not wish
to receive information about:
[ ] the Vegetarian Society's range of services
[ ] information from other carefully selected charities
[ ] special offers from vegetarian-friendly companies
|
Adult Membership
[ ] Full - £21 annually
[ ] Student / Unwaged / Senior Citizen - £16 annually
Junior
Membership
(16 and under)
[ ] £8 annually
Family Membership
(Please advise names and dates of birth of all family
members)
[ ] £26 annually
| Name . . . . . . .
. . . . . |
Date
of Birth |
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Life Membership
[
] £300
[
] Senior Citizen only £180
Overseas
membership
[ ] Europe add £7 postage, rest of the world add
£10 postage
I would like to
make a donation to help the Society's valuable campaign work
[ ] £5 [ ] £12 [ ] £25 [ ] £50
[ ] Other
Gift Aid Declaration
I would like The Vegetarian Society (reg charity number 259358)
to treat all my donations made since 6 April 2000, and from the date
of this declaration until I notify you otherwise, as Gift Aid.
[ ] Please
tick if, the amount of income tax and/or capital gains tax you pay is
at least equal to the tax that the charity will reclaim on your donations
in the tax year. (Currently 28p for each £1 you give)
[ ] Please tick if you are not a UK income tax or capital gains taxpayer
or if the amount of tax you pay is not at least equal to that which
the charity will reclaim.
Signature/Date:
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