Combe Mill Society Sawmill OX29 8ET

I/We* wish to apply for individual* / family* membership of Combe Mill Society.

Name(s):(Dr/Mr/Mrs/Ms/Miss) ………………………………………………………………………………… Address: …………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………

County: ……………………………………………… Post Code: ………………………….

Home Tel: ………………………………………… E-mail: ……………………………………………………………..

Particular interests: ……………………………………………………………………………………………… Newsletter delivery preference:- e-mail post^ collect^

How I can contribute to the Society : ……………………………………………………………….…..

……………………………………………………………………………………………………………………………… NB Application not valid unless the above is completed. I/We* volunteer to be a steward on a minimum of two/four* open days each year.

I/We* offer to take an active part in managing and operating the Mill.

I/We* enclose membership fee of £8^/£12*^ {50% if joining in second-half of the year}

I/We* agree to abide by the rules of the society.

* Please delete as appropriate ^ Additional fee of £10 for receiving paper copy of newsletters

Signature: ______Date: ______

In accordance with the Data Protection Act 1998 we are permitted, for the purpose of administering the society, to keep the information that you supply electronically in our membership database.

Please return together with your completed Gift Aid declaration form to: Combe Mill Society, Blenheim Palace Sawmill, Combe, Oxfordshire, OX29 8ET Cheque to be made payable to Combe Mill Society

2017

For Office Use: Copy to Company Secretary / Newsletter Editor / Membership Secretary

Membership number: Renewal date: Charity Gift Aid Declaration : Multiple Donations

Boost your donation by 25p of Gift Aid for every £1 you donate . Gift Aid is reclaimed by the Society from the tax you pay for the current tax year.

In order to Gift Aid your donation you must tick the box below:

I want to Gift Aid my donation of £…………. and any donations I make in the future or I have made in the past 4 years to the Combe Mill Society

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

My Details (please use capitals) Your address is needed to identify you as a current UK taxpayer.

Title …… First name or initials ……………………………… Surname …………………………………………… Full Home Address ……………………………………………………………………………………. …………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Postcode ………………………………. Date ……………………………………………….

Please notify the Society if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains Keeping in Touch We like to send the occasional email to keep Annual Pass holders informed of what events are coming up at the Mill. If you wish to receive these emails please enter your email address below.

E mail address …………………………………………………………………………………………

Please be aware that: • You must pay enough Income or Capital Gains tax in the current tax year to cover the total amount that you have agreed can be reclaimed by all charities or Community Amateur Sports Clubs • Other taxes such as VAT and Council tax do not qualify • If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Thank you for Gift Aiding

Combe Mill Society is a Company limited by Guarantee . Registered in England No.03784507. Registered Charity Number 1111029 Registered Office: Combe Mill, Blenheim Palace Sawmill, Combe, Oxfordshire, OX29 8ET