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MEMBERSHIP FORM

To the Open Spaces Society, 25a Bell Street, Henley-on-Thames, Oxon RG9 2BA
Mr/Mrs/Ms (delete as appropriate) Other
Forename                                                       Surname
On behalf of (if relevant)                                                                   council/organisation
Address
 
County postcode
Telephone e-mail
I/We apply for membership in the category ticked below:
Tick

Enrolment

 Subscription
Ordinary £6 £23
Concessionary £6 £12.50
Life one off fee of £500
Local organisation, parish, town or community council £10 £30
National organisation, district or borough council included £125
County or unitary council included £300
Please note: there is NO enrolment fee if you pay your subscription by Direct Debit by filling in the DD form. Please pay the first subscription by cheque then future subscriptions will be collected by DD.
Donation of £
Total sum enclosed £
Gift Aid. If you are a UK taxpayer, the society can recover tax (currently 28p for every £1 you pay us) at no cost to yourself so long you pay income tax or capital gains tax at least equal to the tax that the society recovers. Higher-rate taxpayers can claim further tax back for themselves.
I confirm that I am a tax payer and want the Open Spaces Society to treat all subscriptions and donations to the Society I make from this date as Gift Aid donations.
You can cancel this declaration at any time.
Signature                                                                                  Date
                 
Data Protection Act - Please tick this box if you do not wish your name and address to be passed to other members or organisations.
 
Direct Debit instruction. If you use the Direct Debit instruction, we can collect your subscription direct from your bank.  This saves you the bother and us the administrative costs.  You can cancel at any time and we shall tell you in advance of any changed subscription rates.

DONATIONS AND LEGACIES
Please consider making donations to the society.  Provided you have made a Gift Aid declaration, the society will be able to recover, currently, a further 28p for each £1 (whatever the size of donation).  Please also consider leaving the society a legacy in your will. 
Please contact the office on 01491 573535 or email to membership.accts@oss.org.uk.