Membership Application Form

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PLEASE COMPLETE IN BLOCK CAPITALS

TITLE (MR, MRS, MISS, MS, OTHER)....................................................................................................................................

FULL NAME.............................................................................................................................

ADDRESS................................................................................................................................

...............................................................................................................................................

POST CODE.................................TELEPHONE NUMBER..........................................................

E MAIL ADDRESS.......................................................................................

I/We wish to join The Windsor and Eton Society and pay the annual subscription by:

1. Banker's Order which is completed on the separate form and returned herewith.

2. Cheque for .................... being the first annual subscription made payable to the Windsor and Eton Society and enclosed herewith.

3. I/We wish that this and future payments to the Windsor and Eton Society whether by annual subscription or periodic donation shall be treated as a Gift Aid Donation on which the Society may reclaim tax.

Signed...............................................................................................Date..................................................

Notes:

1. Delete if Banker's Order is not required

2. Delete if paying by Banker's Order

3. Delete if the condition in note i below is not met

1. In any one year, the Member must pay a total of income and/or capital gains tax equal to that reclaimable by the Society
2. This Declaration may be cancelled by the Member at any time and, in any case, must be cancelled if the condition in note i above is not met

Please send this completed form with either the completed Banker's Order form or cheque to:

MEMBERSHIP OFFICER    Colin Meads, 9 Harwood Gardens, Old Windsor, Berkshire SL4 2LJ

email:  meads@dsl.pipex.com