Membership

MEMBERSHIP FORM

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In respect of the annual membership fee. Annual Membership fees are £25 for a family membership and £15 for Individual membership

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I enclose an additional donation payable to Encon of £

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Total amount payable

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If you would like to pay by cheque, please make payable to “Enstone Uplands and District Conservation Trust” and send with a copy of this form and return to: Stephen Peach, Encon, Upper Stone Farm Cottage, Lidstone, Chipping Norton OX7 4HL

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I confirm that I have paid or will pay an amount of Income Tax or Capital Gains Tax for each tax year that is at least equal to the amount of tax that all the charities I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT or Council Tax do not qualify. I understand that the charity will reclaim 25p of tax on every £1 that I give on or after 1st April 2009.

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Company Registration Number 05734016 Charity Number 1113828