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SHAREMUSIC SOUTH-WEST

Map of South-West England

MEMBERSHIP APPLICATION

Name:

Address:

Postcode:

Telephone:

E-mail:

I would like to become a Member of SHAREMUSIC SOUTH-WEST and enclose a donation / membership fee of £  (suggested minimum £10 please).

Please make cheques payable to Share Music South West.

Would you like an acknowledgment/receipt? Yes   No

Signed:

Date:


Gift Aid logo (If you are able, please tick the box and sign and date the form again below.) I wish Gift Aid to apply to the enclosed donation and I confirm I will pay in this tax year an amount of Income Tax and/or Capital Gains Tax at least equal to the amount that all charities and Community Amateur Sports Clubs to which I give will reclaim for this year (25p for each £1 given). I understand that other taxes such as Council Tax and VAT do not qualify.

Please notify Share Music South West if you change your name or address.

Signed:

Date:


When you are satisfied that you have completed the form correctly, please print it by clicking the ‘Print form’ button below, then sign and date it and post it with your cheque to Rob Paynter, Share Music South West, The Round House, Coombe Farm, Chittlehampton, Umberleigh, Devon, EX37 9RD.

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