THE MEDIAEVAL TRUST
Charity number 1107299
Membership Application Form
To assist us, please photocopy this form and hand it around to others who might be interested .
(Applicants must be over 18 years old).

Please print all information clearly .

your name.....................................................................................................................................

address........................................................................................................................................

....................................................................................................................................................

postcode...........................................................Telephone..............................................................

email....................................................................................................................................................

Please return this form along with your cheque, made payable to The Mediæval Trust to :
Membership Secretary, The Mediaeval Trust, 25 Thackeray Road, Ipswich, Surfolk. IP1 6JA

Membership is £10 per year, per applicant.

I do not object to the information on this form being held on computer and am willing to have my address, telephone number and email address circulated to members. This information will not be passed to any other organization.

 

Signature.......................................................................................Date............................................................

If you are a United Kingdom taxpayer, we can through Gift Aid; claim an additional 28p for every £1 that you donate, all you have to do is complete the declaration below.

The giver must have paid a tax amount that at least equals the tax being reclaimed on the donation.

UK tax paid on income, capital gains and savings all qualify.

Gift aid declaration I am a UK taxpayer and wish to sanction my rights under this scheme. I understand this costs me nothing extra, but allows the charity to claim extra allowances from the Government.

 

Signature........................................................................Date..........................................................