SHROPSHIRE HISTORIC CHURCHES TRUST

MEMBERSHIP/DONATION FORM

I wish to join/renew as a Patron [_] as a Friend [_] as a Church [_]

I wish to make a donation [_] [tick as appropriate]

Title………Name (please print)…………………………..............................….

Address……………………………………………………..............................…..

…………………………………Postcode……………….……

Banker's Order, cheque enclosed [delete as appropriate]

Subscription rates:-

Friend or Church - Any sum you wish to donate, £10 or over.

Patron - Any sum you wish to donate, £50 or over.

If you are a tax payer and wish to become a member and/or to donate money, we would
be most grateful if you would consider signing the Gift Aid Declaration.

GIFT AID DECLARATION

The Shropshire Historic Churches Trust

Title………Christian name(s)..................................….Surname......................................

Address.............................................................................................................................

.......................................................................Post code……..……………………............

This declaration confirms my wish to make donations to the Shropshire Historic
Churches Trust under the Gift Aid scheme and applies to all donations made by me.
I understand that I must pay an amount of Income Tax or Capital Gains Tax in
the relevant tax year equal to any tax reclaimed by the Shropshire Historic Churches
Trust in that period.

Signature…………………………………………………………….Date….../….…../.............

Banker’s Order Form
CLICK HERE

Please consider completing a Banker’s Order and return all forms to: SHCT Membership Secretary,
16, Mill Street, Ludlow, Shropshire, SY8 1BE