THE MILESTONE SOCIETY
REGISTERED CHARITY NO. 1105688
Application for Membership
Title.................Name...............................................................................
Address
..................................................................................................
............................................................................................................
...........................................................................Postcode......................
Tel. No.
................................. E-mail .......................................................
I/We wish to apply for membership of the Milestone Society
and enclose the annual subscription* of: -
£10 - Single member, receiving one copy of all mailings
£12 - Couple at same address, receiving one copy of all
mailings
£15 - Group/Corporate member, receiving two copies of all
mailings
£20 – Overseas member, receiving one copy of all
mailings
I also enclose a donation of ............... to the Milestone Society
Please delete as appropriate.
I/We do not object to data relating to me/us being held on
computer or paper file by The Milestone Society and I/we do not object to the
information given on this form being disclosed to other members of the Society
as part of the Membership services of the Society.
I am/am not a UK Taxpayer and I wish the Society to reclaim
tax on this subscription under the Gift Aid Scheme.
Signed Date
How did you learn of the Society?
Cheques should be made payable to The Milestone Society and
sent, together with this form, to: The Membership Secretary, Larkrise,
Clavering, Essex CB11 4QT.
*The subscription year begins on 1st June. Members joining in the middle of a year
will receive all newsletters and other publications issued since 1st June subject
to availability.
*For those joining in March, April or May the next renewal
will be due in the following year.
_______________________________________________________________________________
received
number
acknowledged 12.09