A Gift Membership for
The Vegetarian Society of the UK
Please print out the form, fill-out then fax to: 0161 926 9182 or send it to: The Membership Dept, The Vegetarian Society, Parkdale, Dunham Road, Altrincham, WA14 4QG
Details of the person/s for whom the gift membership is for:

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
Card holders contact number
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
   
   
   
   


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:

Many thanks for your support