Soulisquoy Printmakers Ltd
c/o Buckquoy, Harray, Orkney, KW17 2JS
Annual
Membership Standing Order Mandate 2017/18 onwards
Paying
your subscription by standing order helps ensure that your membership is paid
annually and therefore continuing your support for the organisation.
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Name:
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Address:
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Telephone:
Email:
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Please
circle/highlight your preferred option
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Full Membership
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Associate Membership
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Friend/Supporter
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Annual
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£240
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£100
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£20
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Monthly
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£20
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£9
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n/a
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Your
details will only ever be used to notify you of Soulisquoy Printmakers activity
and will not be
passed
on to any third party.
To……………………………………………………………………..
(bank name)…………………………………..(sortcode)
……………………………………………………………………………………………………………………………(bank
address)
…………………………………………………………………………………………………….(bank
postcode)…………………..
Please
complete as appropriate with your preferred payment option:
On 1 April 2017 and annually/monthly
(delete as necessary) thereafter, until
further notice from me, please pay to The Bank of Scotland, 56 Albert Street,
Kirkwall, KW15 1HJ for credit of Soulisquoy Printmakers (account no 06007675,
sort code 80-08-66 ) the sum of £…………….
debiting my Current/Deposit
Account (delete as necessary) No……………………………… accordingly.
This cancels any
previous order made out by me in favour of Soulisquoy Printmakers
Signature…………………………………………………………………..Date / /
Cash/Cheque (delete as
necessary)
I
prefer to pay my membership by cash/cheque and enclose the sum of £…………………………
Cheques
made payable to SOULISQUOY PRINTMAKERS
Gift
Aid Declaration:
If
you are a UK tax payer and would like Soulisquoy Printmakers to reclaim tax on
all your donations please tick here and sign below
Signature………………………………………………………………………………..Date……………………………………….
Return to: Carol Dunbar,
Buckquoy, Harray, Orkney, KW17 2JS
