Membership – Shrewsbury Civic Society

Email *

(This saves on postage and lets us send out messages about events, etc.)

Name *

First

Last

Address

I agree to the data protection guidance of SCS (These can be found on the website). This will grant Shrewsbury Civic Society permission to contact members by email

Category of Membership

Individual (£15)
Student (£10)
Family (£25)
Corporate (£50)

Standing Order for your bank (please cancel all other SCS orders)

Date

Your Bank/Building Society Name

Branch Address

Sort Code

Account Name

Account Number

Amount Payable

I would like all donations (including Membership Subscriptions) that I have made to Shrewsbury Civic Society Trust Limited since 6th April 2000 and all donations (including Membership Subscriptions) I make from the date of this declaration to be treated as Gift Aid Donations, until I notify you otherwise. I will inform you if I am no longer a tax-payer

Website

Please print this form and send to Bear Steps Hall SY1 1UJ, with your membership fee and/or standing order instructions

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