I

All the information you provide will be securely held and only used in the administration of the Society. Other than for authorised Gift Aid claims  your personal information will not be passed to any other organisation.

(Please print)

​

Title (Dr/ Mr/Mrs/Miss etc)………….

Forename ……………………………………………….

Surname ………………………………………………...

Address ………………………………………………….

 

………………………………………………...

Post Code ……………………………………………….

Telephone …………………………………………

​

I/We wish to join LTVAS Group at the £10 Individual rate /£16 Family rate

 (please make cheques payable to LTVAS)

 

Signed…………………………………                Date...................................

​

I am happy for the Society to contact me by e-mail for Society matters only.

My e-mail address is

​

 ………………………………………………

 

~~~~~~~~~~~~~~~~~~~~

GIFT AID DECLARATION

I am paying income and/or capital gains tax and want Romsey Local History Society (LTVAS Group) to treat my annual subscription as a Gift Aid donation, I will notify the Society if my circumstances change.

 

signed……………………………………………

 

date…………………………………………………