For General Enquiries, please contact: Mrs.Carolyn Eddowes, 34 Long Meadow, Heswall CH60 8QQ Tel. 0151-342 5066 or email us at info@theheswallsociety.org.uk


THE HESWALL SOCIETY MEMBERSHIP
AND GIFT AID FORM

Your membership will include all the members of your family living at the same address.

I (name) ...................................................... am/wish to become a member of THE HESWALL SOCIETY

I would like The Heswall Society to reclaim the tax on my subscriptions.

Title ...... Surname .................. Forename(s)......................
Address.............................................................................
................................................. Post Code ......................
Signed .................................................. Date ...................

STANDING ORDER FORM
Click HERE for a printer-friendly version of both these forms

To the Manager.....................................................Bank
Address........................................................................
................................................... Post Code................

I hereby authorise and request you to debit my/our account No. ........... the sum of £5.00 (Five Pounds) and credit Allied Irish Bank plc Sort Code 23.84.03 for the account of The Heswall Society Account No. 57672072 on receipt of this order and on the 1st.December annually until cancellation; and to cancel any previous standing order payable to The Society.

Name(s) ...................... Account No. ........................
Signed ........................................... Date ...................

Please return this form to: Mrs. Diana Lane, 6 Church Meadow Lane, Heswall, CH60 4SB