I wish to apply for membership / I wish to renew my membership (Please delete as necessary)

I enclose remittance as follows (Please tick below)

Yearly Membership to 1 August 2010   £10.00     o 

5 yearly membership to 1 August 2014  £40.00   o

(If you would prefer to renew membership by Bankers Order, please complete form below.)

 

Name (Mr/Mrs/Miss/Ms) Please print ...............................................................................

Address............................................................................................................................................................

Postcode..........................Telephone:...........................................E-mail.........................................

Signed...................................................................................................Date.................................

Please return this form to the Membership Secretary, Medway Little Theatre, 256 High St, Rochester, Kent ME1 1HY, enclosing a stamped addressed envelope.

As we are a registered charity, if you are a UK taxpayer, the value of your subscription can be increased by almost a third under the Gift Aid scheme at no extra cost to you.  Please tick the box below to join the Gift Aid scheme.

o I am a UK tax payer and pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that can be reclaimed on my donation. I would like Medway Little Theatre to treat all the donations I make from 6 April 2009, until I notify you otherwise, as Gift Aid donations.

(If you would like to become involved in a purely voluntary capacity in assisting with Front of House duties or serving behind the bar for one night during productions, please contact the Front of House Manager at the theatre.)

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BANKER'S ORDER FORM

If you wish to pay by Banker's Order, please complete the form below and return it with your application to the Membership Secretary. Please do not send this form to your bank.

To the Manager..........................................................................................(Your.bank)

Branch address...............................................................................................................................................

Bank Sort Code oo-oo-oo Account No.oooooooo

Please pay to the NatWest Bank plc, High Street, Strood, Code No. 60-21-02 to the credit of Medway Little Theatre Ltd, Account No. 56817312, my subscription of £10.00 now and annually on 1st August until further notice.

Signed.....................................................................................Date................................................