Membership Application Form

I apply to become an * .........................................member of The Bristol and Gloucestershire Archaeological Society, and wish/do not wish (delete as required) to receive the publications of the Gloucestershire Record Series.

*Please insert type of membership i.e. Ordinary, Associate or Institution

Block Capitals please

Name and style .........................................................................................……...

(including honours, degrees and qualifications)

Full address ..............................................................................................………

.................................................................................................................……….

.

.................................................................................................................……….

Telephone number ................................ Signature ..................................………

Please treat all donations (including membership subscription) I may make to the Charity from now on as Gift Aid donations and reclaim tax thereon. <  > please tick here.

I confirm that I am a UK tax payer

Subscriptions are due on 1 January each year as follows:-

UK

Basic Rate

inc. Record Series

Ordinary member

£10.00

£22.00

Associate member

£5.00

£17.00

Institutional member

£10.00

£22.00

Life member

Not applicable

£12.00

Overseas    
Ordinary member

£13.00

£27.00

Institutional member

£13.00

£27.00

Life member

Not applicable

£14.00

     

Gift Aid Declaration

A Gift Aid Declaration enables us as a charity (registered no. 202014) to recover from the Inland Revenue the income tax on your subscription. If you pay some tax at the basic rate it will not cost you a penny. At a basic rate of 22% we can reclaim £2.80 on each £10 subscription. So please tick the Gift Aid box above. This will bring in useful extra income.

Please send your completed form with subscription or Banker's Order to the Honorary Membership Secretary:

Mrs. S. Swart, The Winnats, Kestrel Close, Cheltenham, GL53 0LQ

Applicants will normally be elected to membership at the quarterly Council meeting following receipt of their application.

 How to Join