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MEMBERSHIP APPLICATION FORM

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If you would like to join The Caughley Society, please print this page, complete in BLOCK CAPITALS and return to Membership Secretary, The Caughley Society, Brook Cottage, Oldfield, Bridgnorth, Shropshire, WV16 6AQ, United Kingdom.  (Please note that this form cannot be completed online.)

Annual subscription rate per household (please tick): UK £20 ___; overseas in sterling £25 ___.  If you are overseas and wish to pay online in sterling, please contact us. If you are overseas and wish to pay by PayPal, please scroll down and use the Buy Now button if you wish to pay for one year only, or the Subscribe button if you want to pay on a continuing basis.  Please note that the cost of membership using PayPal is £30 per year to cover the additional cost of PayPal fees.

I/we wish to join The Caughley Society.

NAME(S): ..........................................................................................................................................

ADDRESS: .........................................................................................................................................

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

.......................................................................................... POSTCODE/ZIPCODE: ...............................

TEL: .............................................. EMAIL: ......................................................................................


___ Please tick here to show that you agree that The Caughley Society may use your data in line with its Privacy Policy in order to deliver its services to you.

Payment can be made either by cheque made out to 'The Caughley Society' or by standing order. For the latter, please tick here ___ and we will send you the necessary forms. 

If you are eligible, we would be most grateful if, in addition, you will complete the Gift Aid declaration below. This will allow us to claim back basic rate tax at no cost to yourself.

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Please treat this and all future subscriptions and donations as being made under Gift Aid. I confirm that I have paid, or will pay, an amount of income tax and/or capital gains tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or community amateur sports clubs that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and council tax do not qualify. I understand that The Caughley Society will reclaim 25p of tax on every £1.00 that I give. I will notify the Society if I wish to cancel this declaration, change my name or home address, or no longer pay sufficient tax on my income and/or capital gains.


SIGNATURE: ................................................................................... DATE: .........................................













Registered charity no 1137851


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