Please enable JavaScript in your browser to complete this form.Email *(This saves on postage and lets us send out messages about events, etc.) Name *FirstLastAddressI 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 emailCategory of MembershipIndividual (£15)Student (£10)Family (£25)Corporate (£50)Standing Order for your bank (please cancel all other SCS orders) DateYour Bank/Building Society NameBranch AddressSort CodeAccount NameAccount NumberAmount PayableGift Aid Declaration (if you pay tax, please fill this section in so that we can claim from HMRC. This will not cost you anything) 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-payerNameSubmit Please print this form and send to Bear Steps Hall SY1 1UJ, with your membership fee and/or standing order instructions