Hull Geological Society

Registered Educational Charity No. 229147

Subscription renewal form

please print this form and post it to the Treasurer with your cheque

or hand it to the Treasurer with your cash.

The Annual Subscriptions are due on 1st January. The subscription rates are:- ordinary members £ 10-00, family and institutional membership £ 10-00

Donations are gratefully received and help us to fulfill our charitable aims. Can overseas members please remember that we can only receive subscriptions in Pounds Sterling or Euros. Please complete and return this form with your subscription to our Treasurer, Graham Evans. Please indicate if any of your personal details have changed in the last year. By sending this form to the Society you are giving to the Society your permission to store the information and use it to contact you. If you would like to pay by Bank Transfer or standing order please contact the Treasurer.

Name

Address

 

Post Code

Telephone

e-mail

Subscription     =        £ ...........

Arrears      =               £.........

Donation          =        £ ........... 

Total        =                 £ ...........

Subscription rate - single adult, institutional, family, retired, unwaged, student *

Paying by - cash, cheque, banker's order *

Gift aid - please sign this statement if you wish the Society to reclaim the tax you have paid on your subscriptions and donations :- I want to Gift Aid my donations and subscriptions I make now, in the future or have made in the past 4 years to The Hull Geological Society. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Signed ..................................

Please send your subscription to The Treasurer, Hull Geological Society, 52 Ramsgate Close, Hull, HU8 9TP . Please make cheques payable to "Hull Geological Society".

You may cancel this declaration at any time by informing the Treasurer.

* please delete as required

E-MAIL -