Membership Application Form I/we wish to become a member(s) of the Association of Friends of the Waterloo Committee. Title: Mr/Mrs/Ms ………………………………………………………

First Name(s) …………………………………………………………

Family Name …………………………………………………………

Title: Mr/Mrs/Ms ………………………………………………………

First Name(s) …………………………………………………………

Family Name ……………………………………………………………………………………………… Address ……………………………………………………………………………………………… ……………………………………………………………………………………………… Postcode ………………………………

Home Tel ………………………………………………………………………………………

Email Address ………………………………………………………………………………… Subscriptions fall due on 18th June annually: UK Overseas Individual £20 £25 Student £5 £11 Family £30 £35 Corporate £30 £40

Please return this form indicating the preferred membership category (by ringing round one of the above) and enclosing a cheque payable to “The Association of Friends of the Waterloo Committee”, to the Membership Secretary at:

Paul Brunyee, 3 Broughton Rise, Malton, North Yorkshire YO17 7BW

Gift Aid and UK tax payers:

Signing up for Gift Aid means that for every £1 you give in subscriptions, the association receives up to an extra 25%. It does not cost you anything to do so.

It does not matter at what rate you pay income or capital gains tax, but you must pay at least the amount of tax equal to all of the total gift aid tax refunds, claimed by all the charities to which you donate each year. I understand that taxes such as VAT and Council Tax do not qualify.

Your full HOME address must be given along with your POST CODE and you must have signed this declaration.

Signature: …………………………………………………

Date: ………………………………………