MEMBERSHIP APPLICATION FORM

Gift Aid declaration

If you are willing to support WAS through a gift aid declaration please sign the following:

WYCOMBE ASTRONOMICAL SOCIETY
Registered Charity No. 297024

I would like the Wycombe Astronomical Society to reclaim tax on the membership fee I have paid today, and on subsequent subscriptions or donations I make from the date of this declaration.  I confirm that I am a UK taxpayer and the amount of tax I pay exceeds the amount I would like the Wycombe Astronomical Society to claim.

Signed:                                                                                                             Date:

Data Protection Act

I agree that the above information may be stored on computer for the Society’s use only, on the understanding that no information will be disclosed to third parties without my permission.  It is my responsibility to inform the Data Controller (Mrs J. Harris – Society Membership Secretary) of any proposals that I may have to retain automated personal data on WAS members.

Signed:                                                                                                             Date:

Please print this form then sign it and bring with you to your first meeting

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Surname

First names

Family members (if applicable)

Corporate Name (If applicable)

Address

Telephone number

Email address