THE CLAPHAM SOCIETY The Clapham Society Clapham Society Events Newsletter Membership Form * Clapham Society Publications THE CLAPHAM SOCIETY MEMBERSHIP> Application for Membership Please print this page and on completion send the form(s) to Jennifer Everett at the address below. Subscriptions Subscriptions are due on 1st April each year. The full annual rate is payable on becoming a member. A reminder is printed in the March newsletter but individual reminders are not issued. Please ensure you pay promptly each April. Donations The Society gratefully accepts donations (without prejudice to its approach on any matter), either as once-off payments by cheque or by inclusion in annual standing order payments. Gift Aid If you are a UK taxpayer, please complete the Gift Aid Declaration (below the Standing Order Mandate) so that the Society can recover tax, at no additional cost to you, on your subscriptions and any donations you make. Membership and subscription details....... Please complete the following: Amount due....... (please circle as applicable) Private members One-member household £6.00 Name.........................................................................….. Multiple-member household £9.00 Names........................................................................…. ...................................................................................... ...................................................................................... Business members £15.00 Name............................................................................. Addition for all members who receive the Newsletter by post within the UK* £3.00 ------------ Total subscription £ Donation £ ------------- Total due £ ======= Address....................................................................... ...................................................................................... ...................................................................................... ...............................................Postcode.......................... Telephone number.......................................................... Email address................................................................ If you have a particular expertise or interest please note it here ..................................................................................................... ..................................................................................................... This information will not be passed to any third party. *Newsletters are distributed by hand in the Clapham area. If you do not know whether the newsletter will be posted to you, if you wish it to be posted overseas or if you have any other query about how much you should pay please contact the Membership Secretary. THE CLAPHAM SOCIETY...... How to pay We prefer payment by standing order.This saves your having to remember to pay and our having to remind you. Please complete the Standing Order Mandate. THE CLAPHAM SOCIETY Standing Order Mandate To: …………..…………………….……..…………...Bank Address…………………………..………….…….……….. ……………………………………………………….…….. ………….………………………………………………….. Postcode…………………Sort code……....….…………… Please pay the sum of £…………immediately and thereafter annually on 1 April, until this order is cancelled in writing, to: National Westminster Bank PLC Clapham Common Branch PO Box 3059 London SW4 7SN (Sort code 60-05-34) for the credit of the Clapham Society, a/c number 22217045) Please cancel any previous Standing Order in favour of the Clapham Society. Name………………………….……….…………………… Address………………………………..…………………… ………………………………………………….…………. …………………………………………………….………. …………………………Postcode………………………… Telephone number…………………………………………. Account to be debited: Account name (if not as above) …….………………….……………….. ……… Account number …...………………………………….. Signature………………………………………………….. Date……………………………………………………….. Gift Aid Declaration I am a UK taxpayer and wish the Clapham Society to recover tax on my subscriptions and any donations I may make. Name in full….…………………………………………… Signature ………………………………………………….. Date ……………………………………………………….. If you prefer to pay by cheque, please make it payable to The Clapham Society. Please send the completed Application for Membership and Standing Order Mandate or your cheque to: Jennifer Everett 30 Trinity Close London SW4 0JD Tel: 020 7627 4770 Please do not send the standing order mandate direct to your bank. These pages are maintained by Outlines Back to the Top