Please read the notes then print out and send the completed form, together with your application form if joining, to the Membership Secretary at Herschel House.
Name of the Charity: The William Herschel Society
Title________________
Fore Name(s)________________________________________________________________
Surname____________________________________________________________________
Address_____________________________________________________________________
_____________________________________________________________________
Post Code_______________________________
I wish all subscriptions and donations I pay to the William Herschel Society to be treated as Gift Aid payments, until I notify you otherwise. I confirm that I will be paying UK income tax or capital gains tax in excess of the tax reclaimed by the Society on my donations.
Signature______________________________________________________
Date_____________________________________