THE BUCKINGHAM CANAL SOCIETY

Membership Application Form (Internet)


Please fill in and post with your remittance to:

The Membership Secretary, The Buckingham Canal Society, 96 Gaddesden Crescent, Wavendon Gate, Milton Keynes, MK7 7SQ
The annual membership fees are:

Single Member £9.50, Family Membership £15.00*, Youth Membership (under 18) £3.00,
Unwaged £5.00, Corporate Membership £35.00

*Family membership is for any number of people living at the same address: only one copy of the newsletter is sent per family membership.

 
I/we wish to join the membership of The Buckingham Canal Society and enclose a payment of £________ (cheques made payable to "The Buckingham Canal Society" please).

I/we have accept and agree to abide by the terms and conditions of "The Constitution of the Buckingham Canal Society", and further agree to my/our membership details being recorded on a computer.
I am willing to take the Newsletter from the website: Yes/No
 

Signed:_______________________________ Date:__________________________________

 
 
MEMBERSHIP DETAILS. (Please print)

Name(s)
____________________________________________________________________________

Address:
____________________________________________________________________________

____________________________________________________________________________

Phone number:_____________________________________

 

Gift Aid Declaration
If you pay UK tax, the Gift Aid scheme allows BCS to reclaim the tax you have paid on your subscriptions. Please take advantage of this scheme, which costs you nothing but is of great benefit to the Society, by signing the declaration below.

(1) I pay UK tax.
(2) I wish the Buckingham Canal Society to treat the enclosed annual subscription and all future donations as Gift Aid donations.

 
Signed:_______________________________ Date:__________________________________