Friends
of the
Fusiliers Museum
(Royal Warwickshire)

Branch address_____________________________________________________________________

Please pay to: HSBC plc
Sort Code 40-45-25
126, The Parade
Leamington Spa
Warwickshire
CV32 4AJ
For the credit of 'The Friends of the Fusiliers' Museum (Royal Warwickshire) account number
71321889
The sum of (in figures) £________________________
(in words) ___________________________________
On____________________ (date of first payment) and thereafter annually on the same date each year

Name of account be debited__________________________________________________________
Account number_____________________________ Sort Code______________________________

Signed ________________________________
Address___________________________________________________________________________
__________________________________________________________________________________
Post code_____________

This bankers order, when completed should be sent to: Mrs D. R. Harrison, Honorary Treasurer, 13 Ladywood Road, Spalding, Lincolnshire, PE11 2DA

In accordance with paragraph 20 of the Constitution, formally adopted at the Inaugural Annual General Meeting, Annual Subscriptions are due on the first day of January each year.

Individual - Outside the West Midlands area. £8
Individual - In the West Midlands area, not able to attend talks or meetings. £8
Individual - In the West Midlands area able to attend talks or meetings. £12
Family - Outside the West Midlands area. £15
Family - In the West Midlands area. £20
Institutional - History Societies, Military History Groups, Cadet Forces. £30
Corporate - Schools, Universities, Businesses. £50

I enclose £……… Annual Subscription / Please send me a Bankers Order (delete that which does not apply).

Name………………………………….…………………………….Membership Number……..……..

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

………………………………………………………………………..Postcode……………….

Tel No………………………………………E-Mail…………………………………………

GIFT AID DECLARATION
Taxpayers may enhance their subscriptions by gifting the tax to the Friends via Gift Aid. If you would be so kind as to sign the declaration, tax from contributions now and in the future may be re-claimed by The Friends of The Fusiliers' Museum (Royal Warwickshire).

I confirm that I pay income tax or capital gains tax equal to the amount to be reclaimed on my donation. I will notify The Friends of The Fusiliers' Museum (Royal Warwickshire) if I cease to pay tax or wish to countermand the declaration.

Signed………………………………………….Date…………………..

Please send your completed form and remittance to: Mrs D. R. Harrison, Honorary Treasurer, 13 Ladywood Road, Spalding, Lincolnshire, PE11 2DA.